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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