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Home My WebLink AboutCAG2021-520 - Insurance Certificate - Curtis Blue Line - Liability Coverage - 04/01/2022COVERAGES CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NUMBER:sEA-00382214+01 REVISION NUMBER: 1 DATE (MM/DD/YYYY) ut06t2022 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 INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSUING TNSURER(S), AUTHORIZED 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH RISK & INSURANCE SERVICES FOUR EMBARCADERO CENTER, SUITE 1,100 CALIFORNIA LICENSE NO, 0437153 sAN FRANCTSCo, CA 94111 Attn: sanf rancisco.certs@marsh.com cN101 797553--FG AWU-22-23 GAW PHONE INSURER{SI AFFORDING COVERAGE NAIC # rNsuRER a : Gemini lnsurance Co 10833 INSURED L. N. Curtis and Sons, lnc. Attn: John Viboch, CFO 185 Lennon Lane, Suite 1 10 Walnut Creek, CA 94598 TNSURER B: Great Northern lnsurance Companv 20303 rNsuRER c : Slarr lndemnitv & Liabilitv ComDanv 38318 INSURER D: INSURER E INSIIRFR F : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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. INSRITR TYPE OF INSURANCE POLICY NUMBER POLICY EFFIMM'DN'YYYYI POLIGY EXP IMM'NN/YYYVT LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS.MADE OCCUR X Firearms Tactical General Liability GEN'L AGGREGATE LIMIT APPLIES PER: X 'o.,." l-l !g"o; l-l '.o. X vrGP021092 04t01t2022 04t01n023 EACH OCCURRENCE $1,000,000 UAMAUE IUKENIEU PRFMISFS rFe n.^' 'rran^al 50,000 MED EXP (Anv one person)$Excluded PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO O\ANED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON.O\^JNED AUTOS ONLY /35EJ643 04t01t2022 04t01t2023 $2,000,000 BODILY INJURY (Psr person) BOOILY INJURY (Per accident)$ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS.MADE EACH OCCURRENCE D AGGREGATE $ nFn RETENTION $$ c WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRI ETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) lf yes, describe undar DESCRIPTION OF OPERATIONS below /N N/A 1UUUUU456/wultzuzz 04lu'U2023 X PERSTATI ITF OTH-FP E.L. EACH ACCIDENT 1,000,000$ E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Romarks Schedule, may be attached if more 6pace iE requirud) arising out of the operations of the named insured and where required by Mitten contract. CANCELLATION @ 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Kent Police 0epartunent 220 Fourth Avenue South Kent, WA 98032 1lhtul Rat & loa'naw Set*cet AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) oiQo*CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY} Mt06t2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF TNSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG INSURER(S), AUTHORTZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH RISK & INSURANCE SERVICES FOUR EMBARCADERO CENTER, SUITE 11OO CALIFORNIA LICENSE NO. 0437153 sAN FRANCTSCo, CA 94111 Attn: sanfrancisco.certs@marsh.com; Fax: 21 2-948-0398 cN 1 01 79755$STND-GAWU-22-23 P IONEtn N^ FYtl.FAXlAr(: N^1. .MAIL DDRESS: INSURERISI AFFORDING COVERAGE NAIC f rNsuRER A : Starr lndemnity & Liabilitv Company 38318 INSURED L. N. Curtis and Sons, lnc. Attn: John Viboch, CFO 185 Lennon Lane, Suite 110 Walnut Creek, CA 94598 tNsuRER B: Great Northern lnsurance Comnanv 20303 INSURER G : N/A N/A INSURER D: INSURER E : INSURER F : GOVERAGES CERTIFICATE NUMBER:sEA-003530843-1 0 N 3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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. POLICY EFFtMMtnnHvvtINSRlTRTYPE OF INSURANCE tNcn pot tcY NilMnFR POLICY EXP,MMrnnwwl LIMITS EACH OCCURRENCE $1,000,000 DAMAGE IOf<ENIbL) PREMISES lEa occur.encel 1,000,000$ MED EXP (Anv one oerson)10,000$ PERSONAL & ADV INJURY 1,000,000$ GENERAL AGGREGATE 10,000,000$ PRODUCTS - COMP/OP AGG 2,000,000$ A COMMERCIAL GENERAL LIABILITY $0 Liability Deductible X LIMIT PRO- JECT X X X CLAIMS-MADE OCCUR PER: LOC 1 00030556921 1 Mt01t2022 04t01t2023 Per Location Aggregate 2,000,000 $2,000,000 BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ $ B AUTOMOBILE LIABILITY ANY AUTO O\^AED AUTOS ONLY HIRED AUTOS ONLY AUTOS ONLY SCHEDULED AUTOS NON.O\AJNEDXX X $0 Liability Deduciible 73583643 94tu1t2022 04t01t2023 COMP/COLL DEDS:1,000$ EACH OCCURRENCEUMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MAt)E AGGREGATE $ DF f)RFTFNTION S $ X PEI( STATIJTF (JtH- FR E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000$ A WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) lf yes, describe under DESCRIPTION OF OPERATIONS b€low N/A '1000004587 v4tvUzuzt t)4tultzQzJ E-L. DISEASE - POLICY LIMIT 1,000,000$ OESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD l0l, Additional Remarks Schedule, may b6 aftach6d lf more spaco is roquiJed) arising out of the operations of the named insured and where required by written contract. TE HOLDER @ 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of AGORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION DATE THEREOF, NOTIGE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Kent Police Department 220 Fourth Avenue South Kent, WA 98032 ?tlni4l Rt4A & laanwaa Sewat AUTHORIZEO REPRESENTATIVE ACORD 25 (20r6/03)