HomeMy WebLinkAboutCAG2020-371 - 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
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