Loading...
HomeMy WebLinkAboutPW15-059 - Insurance Certificate - Verizon - 12/31/2022-12/31/2023 Property Coverage - 12/31/2022AC")?" CERTIFICATE OF PROPERTY INSURANCE I D12/30/2022vY> 164. - 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 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. PRODUCER CONTACT NAME: Aon Risk services Northeast, Inc. PHONE (866) 283-7122 I FAX (800) 363-0105 New York NY Office (A/C. No. Ext): (A/C. No.): „ one Liberty Plaza rE-M aI[s 165 Broadway, Suite 3201 PRt�DucR 570000027366 New York NY 10006 USA CUSTOMER ID#: INSURER(S) AFFORDING COVERAGE NAIC # H INSURED INSURER A: Steadfast Insurance Company 26387 y cel1co Partnership dba verizon wireless INSURER B: � 1095 Avenue of the Americas INSURER C: New York NY 10036 USA INSURER D: INSURER E: INSURER F: QDVERAGES CERTIFICATE NUMBER: 5700971�0803 REVISION NUMBER: LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE: site Name: SEA 4 Corners, Location Code: 102484 Contract No. 79134, site Address: 26800 Maple valley Black Diamond Road SE, Maple valley, WA 98038. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ICOVERED PROPERTY LIMITS LTR DATE (MM/DD/YYYY) DATE (MM/DD/YYYY) A X (PROPERTY PPR373455021 12/31/2022 12/31/2023 BUILDING CAUSES OF LOSS DEDUCTIBLES BASIC BUILDING BROAD CONTENTS X SPECIAL EARTHQUAKE WIND FLOOD Blkt PP Ded _ INLAND MARINE CAUSES OF LOSS NAMED PERILS CRIME TYPE OF POLICY BOILER & MACHINERY / EQUIPMENT BREAKDOWN TYPE OF POLICY POLICY NUMBER PERSONALPROPERTY BUSINESS INCOME EXTRA EXPENSE RENTALVALUE BLANKET BUILDING X BLANKET PERS PROP BLANKET BLDG & PP 00 O rn Ln O O n Ir W m Z w $10,000,000 Q U U- a W U SPECIAL CONDITIONS / OTHER COVERAGE`S (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Risk Property subject to policy terms, conditions and exclusions. waiver of Subrogation applies to the Property policy as required by written contract. CERTIFICATE HOLDER r,�!ip2 City Of Kent °C Attn: City Clerk 220 Fourth Avenue Kent WA 98403 USA CANCELLATION 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 REPRESENTATIVE (� ��� c��.lOfL t/GG2il�f.D cf lOtljf�.� eJ �ZC� 01995-2015 ACORD CORPORATION. All rights reserved. ACORD 24 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000027366 LOC #: '4 ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Northeast, Inc. POLICY NUMBER cellco Partnership dba verizon wireless see certificate Number: 570097150803 CARRIER NAIC CODE see certificate Number: 570097150803 I I EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 24 FORM TITLE: Certificate of Property Insurance Primary Addendum Policy# PPR373455021 with steadfast Insurance Co. is 3.33 % of the primary layer. 96.67 % of the primary layer is directly placed through Exchange Indemnity Company of New Jersey. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Certificate No: 570097150803 AON City Of Kent Attn: City Clerk 220 Fourth Avenue Kent WA 98403 USA Tuesday, January 3, 2023 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570097150803) for future renewals: X - Visit aon.com/e-cert; or - Utilize the QR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. MSC# 17755 1 Aon P.O. Box 1447 Lincolnshire, IL 60069 MSC#17755 Aon Risk Services PO Box1447 Lincolnshire, IL 60069 MDG2023 00004639 01 ��I�ns��l�l'I�I���IIII�I'Ill�l�l�lll�ln�ll�lllnlllnll'Inl��l City Of Kent Attn: City Clerk 220 Fourth Avenue Kent WA 98403