HomeMy WebLinkAboutPK13-006 - Insurance Certificate - Active Network, LLC - Liability Coverge - 04/01/2022CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE N UMBER: 5691907 12 REVISION NUMBERI
DATE (MM/DD/YYYY)
312912022
RTIFICATEINFORMATIONMATTERFICATE
FICATE
tsTHER.HOL DURIGHTSTHPONCEEDANRSCONFENOYONLAOFASRTICEISSUEDtssTHIBYPOTHE LrctEsEcRAGEOVEAFFORDEDOREXTENDTERALTHTIVELEGAAMYENDFIRMAAFYTIVELRoNrcADOESTENOTCERTIDORIZEAUTHNrssTHEINGUINSURECONTRACTAETWEEBR(S),coNsNOT TITUTEoINSURANCEFDOEScTHISERTIBELOW
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
policy,
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certificate holder in lieu of such e
Connie Whitmer
706-576-5607706-324-667'l
Connie.Wh M
NAIC #COVERAGE
2028'l4++ XVe: Federal lnsurance
PRODUCER
Marsh & Mclenn
2000 Brookstone
Suite 1'18
Columbus GA 31
an Agency, LLC
Centre Pkwy
904
203034++ XVINSURER B:Great Northern lnsurance Com
22667A++ XVACE American lnsurance
D;
INSURED
Active Network LLC
Attention: Devery Gauthier
3550 Lenox Road NE, Suite 3000
Atlanta GA 30326
3OGLOBALPAYM
COVERAGES
THAT
MAYMAYCERTIFICATE
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LIMITS
TYPE OF INSURANCE
1EACH OCCURRENCEX
1
$MED EXP one
1PERSONAL & ADV INJURY
sGENERAL AGGREGATE
1PRODUCTS - COMP/OP AGG
$ 100,000,000
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GEN'L AGGREGATE LIMIT APPLIES PER:
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X PRO-
JECT
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$
$BODILY INJURY (Per Person)X
$BODILY INJURY (Per accident)
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ANY AUTO
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N/AANY PROPRIETORYPARTNER/EXECUTIVE
OFFICERYMEMBER EXCLUDED?
YIN
in NH}
EMPLOYERS' LIABILITY
COMPENSATION
DESCRTPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Evidence of Covarage
CERTIFICATE CAN
@ 1988-2014 ACORD CORPORATION. All rights
CITY OF KENT, WASHINGTON
220 Fourlh Avenue South
Kent WA 98023
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTAfFre r{ 5* l{fil+r+{+
ACORD 25 (20141011 The ACORD name and logo are registered marks of ACORD
reserved.