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Home My WebLink AboutCAG2020-370 - Insurance Certificate - Open Doors for Multicultural Families - Liability Coverage - 06/02/2021USI INSURANCE SERVICES CERTIFICATE RETURN MAIL PROCESSING PO BOX 629035 EL DORADO HILLS CA 95762-9035 CIry OF KENT-HOUSING AND HUMAN SERVICES 220 4TH AVE S KENT WA 98032-5838 H* Client#:835950 OPENDOOR2 ACORD," CERTIFICATE OF LIABILITY INSURANCE COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: DATE (MM/DDIYYYY) 610712021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF TNSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI lnsurance Services LLC 601 Union Street, Suite 1000 Seaftle, WA 98101 206 441-6300 Select NW lon ifi8"fi .,"r, 877 67 8-5842 610-362-8530 Se LCOm INSURER(S) AFFORDING COVERAGE NAIC # ;N9URER A : Philadelphia lndemnity lnsurance Co.18058 INSURED Open Doors for Multicultural Families 24437 Rusell Rd Suite 110 Kent, WA 98032 INSURER B: INSURER C : INSURER D: INSURER E: INSURER F : THIS IS TO CERTIFY THAT THE POLICIES OF INSUMNCE LISTED BELOW HAVEBEENISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIONOF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)tsULIGY EXF {MM/DD/YYYY)LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS-MADE x OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO. JECT LOC OTHER: x PHPK2279227 061021202'l 06t02t2022 EACH OCCURRENCE $ 1,000.000 $ 1.000.000 MED EXP (Anv one person)$5.000 PERSONAL & ADV INJURY $ 1.000.000 GENERAL AGGREGATE s2.000.000 PRODUCTS - COI\4PlOP AGG s2.000.000 $ A AUTOMOBILE LIABILIry ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLYXx PHPK227S227 t6t02t2021 06102t2022 s1,000.000 BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-IVADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION S $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERYMEMBER EXCLUDED? (Mandatory in NH) lf yes, describe under DFSCRIPTION OF OPFRATIoNS balow N N/A PHPK2279227 WA Stop Gap 0610212021 0610212022 PER STATI ITF OTH-FP E.L. EACH ACCIDENT s1.000.000 E.L, DISEASE - EA EMPLOYEE s1.000.000 E.L. DISEASE - POLICY LIMIT s1.000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltional Remarks Schedule, may be attached if more space is required) City of Kent, its elected and/or appointed officials, employees and agents are inclued as additional insured per endorsement CG2026 attached. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE W|LL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Kent-Housing and Human Services 220 Fourth Avenue South Kent, WA 98032 db,# e. {Wat AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1 oj 1 #s323042171M32302048 O 1988-2015 ACORD CORPORATION. All rights reserved. The AGORD name and logo are registered marks of AGORD PYBZP This page has been left blank intentionally