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HomeMy WebLinkAboutCAG2023-310 - Insurance Certificate - Vine Maple Place - ARPA Stable Families -01/31/2024 ACQRD® CERTIFICATE �F LIA6ILITY INSURANCE DATEIMM:DD:YYYYI �� 02/08/2024 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS 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 Ahern Insurance A CONTACT Agency Y LLC NAME: Michaela Ahern 27116 167th PI SE PHONE 253.854-3883 AIC No:253-854-4040 #11a MAIL A rm ADDRESS: Y michaela.'ahern faersa enc .cam A Covington WA 98042 INSURER S[ IAFFORDINGCOVERAGE NMCIf INSURER A:WeSCO Insurance Company 25011 INSURED Vine Maple Place IN SURER B:Amtrust Insurance Company 15954 PO BOX 1092 INSURER C: Maple Valley WA 98038 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TH S 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 POLICY TYPE OF INSURANCE POLICY NUMBER MM1DDiYYYY MM LICY EXP LTR IDDfYYYY LIMITS A J COMMERCIAL GENERAL LIABILITY WPP1994224 01/31/2024 01/31/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE F-71 DCCUR PREMISES Ea occurrence $1,000,000 MED EXP(Any one n $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIM IT APPLIES PER- GENERAL AGGREGATE $3,000,000 POLICY1-1 JE PRO LOC PRODUCTS-COMPlDPAGG $3,000,000 FIOTHER: $ A AUTOMOBILE LIAB ILFFY LJ WPP1994224 01/31/2024 01/3112025 Ea accident $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS 771174=DAMAGE HIRED NON-OWNED 'I AUTOS ONLY `� AUTOS ONLY Per accident $ $ B UMBRELLA LIAB OCCUR KMI31026501 01/31/2024 01/31/2025 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 LIED RETENTION$ S A WORKERS COMPENSATION WPP1994224 01/3112024 01/31/2025 STATUTE `� ER WA STOP GAP AND EMPLOYERS'LIABILITY I ANYPROPRIETORIPARTNERIEXECUTIVE Y!N E.L.EACH ACCIDENT $1000,000 OFF ICEWMEMBEREXCLUDEDA ❑ NIA (Mandatory in NH) E.LDISEASE-EAEMPLOYE $1,000,000 If yyes,describe under 1 000.D0D ❑ESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ A Abusive Acts WPP1994224 01/3112024 01131/2025 $1.000,000 [::IF--I EJEJ DESCRIPTION OF OPERATIONS;LOCATION S:VEHICLES IAC0RD 101.Additional Remarks Schedule,may be attached if more space is required) The City of Kent is listed as an additional insured and certificate holder. CERTIFICATE HOLDER CANCELLATION City of Kent, Human Resources SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 220 4th Ave S. Kent,WA 98032 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD