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Home My WebLink AboutCAG2023-145 - Insurance Certificate - Joy, Inc. - Liability Coverage - 04/16/2024 „.+�� C ” 7 � A�-' �IIRo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YVYY)4/15/2024 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 endorsements). PRODUCER CONTACT NAME: RM Home Office _ _-^_,_._..___�_____ — TrueNorth Companies, L.C. PHONE 319 366 2723 I FAX No:319-862-0612 500 1 st St SE EMAIL Cedar Rapids IA 52401 ADDRESS: certs@truenorthcompanies com INSURER(S AFFORDING COVERAGE j ___NAIC N INSURER A:Western National Mutual Insurance Company 1 15377 INSURED JOYINC 0-01 INSURER B: Joy Companies, Inc. INSURERC: dba Joy, Inc 3759 South 74th St INSURER o-: Tacoma WA 98709 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:914982344 REVISION NUMBER: 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. ! AOOLISUBRI _ pOLICYEFF POLICY EXP LIMITS ILTR TYPEOFINSURANCE IN DIWVD I POLICYNUMBER MMIDDIYYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY CPP 1261322 4/16/2024 4/16/2025 EACH OCCURRENCE $1,000,000 DAMAGE ARE T 100 000 CLAIMS-MADE [OCCUR ',PREMISES.EEa nccurrenco1_._$_- MED EXP(Any one person) $5,000 J I P SRE ONAL&ADV INJURY $1,000,000 —_ r — GEN'L AGGREGATE LIMIT APPLIES PER: F GENERAL AGGREGATE $2,000,000 X POLICY X I JC O u LOG PRODUCTS-COMP/OP AGG $2 000 000 OTHER. $ COMBINED SINGLE LIMIT A AUTOMOBILE LIABILITY CPP 1260277 4/16/2024 4/16/2025 Ea accident) $1,000,000 -. _. X ANY AUTO BODILY INJURY(Per person) OWNED —, SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY I AUTOS -- HIRED NON OWNED ! PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY I.(Per 7rctdent) _. ........ A X UMBRELLA LIAR X OCCUR LIMB 1044206 4/16/2024 4/16/2025 EACH OCCURRENCE $5,000,000 EXCESSUAB - I CLAIMS,MADE AGGREGATE $5,000,000 j DEC) X 1 RETENTION$in nnn I$ A WORKERS COMPENSATION WA Stop Gap 4/16/2024 4/16/2025 STATUTE X EORH WA Sto.Gap AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETORlPARTNER/EXECUTIVE I�j N/A E.L.EACH ACCIDENT $1,000,000 'OFFICE Rf MEMBER EXCLUDE D? E.L.DISEASE-EA EMPLOYEE $1,000,000 (Mandatory In NH) Ii yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) If Yes is indicated above for Additional Insured,General Liability form CGMU0009 06/22(ongoing operations),WNGL84 07/15(completed operations)and Auto Liability form WNCA80 06/19 apply. If Yes is indicated above for Waiver of Subrogation,General Liability form CGM00009 06122,Automobile Liability form WNCA80 06/19 apply.Coverage is extended for work performed and required under written contract with the above named insured. Umbrella liability follows form as per policy terms,conditions and exclusions and extends over the General Liability,Automobile Liability and Employer's Liability only. i jl CERTIFICATE HOLDER 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. City of Kent 220 Fourth Ave S. AUT ORIZED REPRESENTATIVE Kent WA 98032 412�r _ 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 2254: 2 of 2 TrueNorth Companies, L.C. 500 list St SE Cedar Rapids, IA 52401 2254 1 MB 0.568 2254 .II°��IIII��I'I11111111111��1��11��1��1�11�1�1��1'I'I��i11��'�1 CITY OF KENT 220 4TH AVE S KENT, WA 98032-5838 2254; 1 of 2 PHILADELPHIA INDEMNITY INSURANCE COMPANY 1-877-438-7459 ONE BALA PLAZA, SUITE 100 BALA CYNWYD PA 19004 REINSTATEMENT NOTICE Named Insured&Mailing Address: Producer:0002297 DOMESTIC ABUSE WOMEN'S NETWORK BELL-ANDERSON AGENCY, INC.DBA PLC INSURANCE SERVICES PO BOX 1449 19401 40TH AVE W STE 440 KENT WA 98035-1449 LYNNWOOD WA 98036-5600 Policy No.: PHPK2638594 Type of Policy: NP :NON PROFIT PACKAGE You recently received a notice advising this policy was being cancelled effective 04/23/2024 . This notice is to advise that the policy is being reinstated without lapse in coverage. Date Mailed: 18t y of Apri , . 24 Other Party of Interest CITY OF KENT 220 4TH AVE S KENT WA 98032 JOAN HILLMAN WACT36 04172024SNNY FORM#CT969897WA51995 Page 1 of 1 ODEN 3.0.24.02a Copy for Other Interests 0000516-0001036 PHILADELPHIA INSURANCE COMPANIES A Member of the Tokio Marine Group One Bala Plaza,Suite ioo,Bala Cyouyd,Pennsylvania 19004 0000516-0001035 SPRES 001 639911 1111111111111'11111111111111'111111111111111111111111111111111111 CITY OF KENT 220 4TH AVE S �. KENT WA 98032