HomeMy WebLinkAboutCAG2021-147 - Insurance Certificate - Cedar River Clinics - Liability Coverage - 04/20/2022CERTIFICATE OF INSURANCE ISSUE DATE: 4/21/2022
PRODUCER:
Alera Group, Inc.
Healthcare Liability Team
410 N. Michigan Ave., Suite 1020
Chicago, IL 60611
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
COMPANY
LETTER A GENERAL STAR INDEMNITY COMPANY
COMPANY
LETTER B
INSURED:
Feminist Women’s Health Center
dba Cedar River Clinics
106 East E Street
Yakima, WA 98901
COMPANY
LETTER C
COMPANY
LETTER D
COMPANY
LETTER E
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS
SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO.
LTR TYPE OF INSURANCE POLICY
NUMBER
POLICY
EFFECTIVE
DATE
POLICY
EXPIRATION
DATE
LIMITS OF LIABILITY
A
GENERAL LIABILITY
_X_COMMERCIAL GENERAL LIAB.
_X_CLAIMS MADE ___ OCCURRENCE
___OWNER’S & CONTRACTORS PROT.
___OTHER:
IJG420576G 4/20/2022 4/20/2023
GENERAL AGGREGATE $3,000,000
PRODUCTS-COMP/OPS AGGREGATE $1,000,000
PERSONAL & ADVERTISING INJURY $1,000,000
EACH OCCURRENCE $1,000,000
FIRE DAMAGE (any one fire)
MEDICAL EXPENSE (any one person) $5,000
A
AUTOMOBILE LIABILITY
___ANY AUTO
___ALL OWNED AUTOS
___SCHEDULED AUTOS
_X_HIRED AUTOS
_X_NON-OWNED AUTOS
___GARAGE LIABILITY
IJG420576G 4/20/2022 4/20/2023
COMBINDED SINGLE LIMIT $1,000,000
BODILY INJURY (per person) $
BODILY INJURY (per accident) $
PROPERTY DAMAGE $
EXCESS LIABILITY
___OTHER THAN UMBRELLA FORM
EACH OCCURRENCE $
AGGREGATE $
WORKERS COMPENSATION
AND
EMPLOYERS’ LIABILITY
STATUTORY
EACH ACCIDENT $
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
A OTHER
_X_MEDICAL PROF. LIABILITY
POLICY TYPE: CLAIMS-MADE
IJG420576G 4/20/2022 4/20/2023 $1,000,000 PER CLAIM /
$3,000,000 AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS SUBJECT TO POLICY TERMS, CONDITIONS, AND EXCLUSIONS.
1. City of Kent is an additional insured with respect to general liability as required by written contract, subject to policy terms,
conditions, and exclusions.
CERTIFICATE HOLDER
City of Kent
220 Fourth Avenue South
Kent, WA 98032
CANCELLATION – THE ISSUING COMPANY WILL NOT BE
RESPONSIBLE FOR INFORMING THE CERTIFICATE HOLDER OF ANY
CHANGES IN COVERAGE OR IN THE LIMITS OF LIABILITY OR IN THE
EVENT OF THE TERMINATION OR CANCELLATION OF THE POLICY.
AUTHORIZED REPRESENTATIVE : JASON P. SHAH, MD
CERTIFICATE OF INSURANCE ISSUE DATE: 4/21/2022
PRODUCER:
Alera Group, Inc.
Healthcare Liability Team
410 N. Michigan Ave., Suite 1020
Chicago, IL 60611
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
COMPANY
LETTER A GENERAL STAR INDEMNITY COMPANY
COMPANY
LETTER B
INSURED:
Feminist Women’s Health Center
dba Cedar River Clinics
106 East E Street
Yakima, WA 98901
COMPANY
LETTER C
COMPANY
LETTER D
COMPANY
LETTER E
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS
SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO.
LTR TYPE OF INSURANCE POLICY
NUMBER
POLICY
EFFECTIVE
DATE
POLICY
EXPIRATION
DATE
LIMITS OF LIABILITY
A
GENERAL LIABILITY
_X_COMMERCIAL GENERAL LIAB.
_X_CLAIMS MADE ___ OCCURRENCE
___OWNER’S & CONTRACTORS PROT.
___OTHER:
IJG420576G 4/20/2022 4/20/2023
GENERAL AGGREGATE $3,000,000
PRODUCTS-COMP/OPS AGGREGATE $1,000,000
PERSONAL & ADVERTISING INJURY $1,000,000
EACH OCCURRENCE $1,000,000
FIRE DAMAGE (any one fire)
MEDICAL EXPENSE (any one person) $5,000
A
AUTOMOBILE LIABILITY
___ANY AUTO
___ALL OWNED AUTOS
___SCHEDULED AUTOS
_X_HIRED AUTOS
_X_NON-OWNED AUTOS
___GARAGE LIABILITY
IJG420576G 4/20/2022 4/20/2023
COMBINDED SINGLE LIMIT $1,000,000
BODILY INJURY (per person) $
BODILY INJURY (per accident) $
PROPERTY DAMAGE $
EXCESS LIABILITY
___OTHER THAN UMBRELLA FORM
EACH OCCURRENCE $
AGGREGATE $
WORKERS COMPENSATION
AND
EMPLOYERS’ LIABILITY
STATUTORY
EACH ACCIDENT $
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
A OTHER
_X_MEDICAL PROF. LIABILITY
POLICY TYPE: CLAIMS-MADE
IJG420576G 4/20/2022 4/20/2023 $1,000,000 PER CLAIM /
$3,000,000 AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS SUBJECT TO POLICY TERMS, CONDITIONS, AND EXCLUSIONS.
1. City of Renton is an additional insured with respect to general liability as required by written contract, subject to policy terms,
conditions, and exclusions.
CERTIFICATE HOLDER
City of Renton
1055 South Grady Way
Renton, WA 98057
CANCELLATION – THE ISSUING COMPANY WILL NOT BE
RESPONSIBLE FOR INFORMING THE CERTIFICATE HOLDER OF ANY
CHANGES IN COVERAGE OR IN THE LIMITS OF LIABILITY OR IN THE
EVENT OF THE TERMINATION OR CANCELLATION OF THE POLICY.
AUTHORIZED REPRESENTATIVE : JASON P. SHAH, MD