HomeMy WebLinkAboutCAG2023-136 - Insurance Certificate - Kidvantage - Liability Coverage - 06/01/2024 Issue Date 5/23/2024 Cert#:0000036625
NON PROFIT INSURANCE PROGRAM
CERTIFICATE OF COVERAGE
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 NPIP COVERAGE AGREEMENT BELOW.THIS CERTIFICATE OF COVERAGE 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 COVERED PARTY,THE COVERAGE AGREEMENT MUST BE ENDORSED. IF SUBROGATION IS
WAIVED,SUBJECT TO THE TERMS AND CONDITIONS OF THE COVERAGE AGREEMENT,CERTAIN COVERAGE MAY REQUIRE AN ENDORSEMENT.A STATEMENT
ON THIS CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENTS.
PROGRAM ADMINISTRATOR COMPANIES AFFORDING COVERAGE
Clear Risk Solutions GENERAL LIABILITY
451 Diamond Drive NPIP/Munich Re.et al.
Ephrata,WA 98823
AUTOMOBILE LIABILITY
COVERED PARTY NPIP/Munich Re.et al.
Kidvantage PROPERTY
NPIP/Munich Re.et al.
PO Box 712 MISCELLANEOUS PROFESSIONAL LIABILITY
Issaquah,WA 98027 NPIP/Munich Re.et al.
COVERAGES
THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED MEMBER NAMED ABOVE FOR THE COVERAGE PERIOD
INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE NPIP COVERAGE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL
THE TERMS,EXCLUSIONS,AND CONDITIONS OF SUCH COVERAGE AGREEMENT. LIMITS SHOWN BELOW MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LINE OF COVERAGE COVERAGE NUMBER EFF DATE EXP DATE DESCRIPTION LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY NPIP242558142 6/1/2024 6/1/2025 PER OCCURRENCE $2,000,000
OCCURRENCE FORM PER MEMBER AGGREGATE $4,000,000
INCLUDES STOP GAP—EMPLOYERS LIABILITY PRODUCT-COMP/OP $2,000,000
PERSONAL&ADV.INJURY $2,000,000
(LIABILITY IS SUBJECT TO A$350,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $50,000,000
AUTOMOBILE LIABILITY
ANY AUTO NPIP242558142 6/1/2024 6/1/2025 COMBINED SINGLE LIMIT $2,000,000
(LIABILITY IS SUBJECT TO A$350,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE
PROPERTY
NPIP242558142 6/1/2024 6/1/2025 ALL RISK PER OCC EXCL EQ&FL $100,000,000
EARTHQUAKE PER OCC Excluded
FLOOD PER OCC Excluded
(PROPERTY IS SUBJECT TO A$350,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE
MISCELLANEOUS PROFESSIONAL LIABILITY
NPIP242558142 6/1/2024 6/1/2025 PER CLAIM $1,000,000
(LIABILITY IS SUBJECT TO A$350,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $40,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Regarding contracted services provided,City of Kent Housing&Human Services are named as Additional Covered Party regarding these contracted services only and are
subject to coverage terms,conditions,and exclusions. Additional Covered Party endorsement is attached.
CANCELLATION NOTICE:SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE COVERAGE AGREEMENT PROVISIONS.
CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE
Attn:Parks,Recreation&Community Services
City of Kent Housing&Human Services
220 4th Ave.S
Kent,WA 98032
Coverage Number: NPIP242558142 Effective Date: 6/1/2024
Cert#:0000036625 Issue Date 5/23/2024
ADDITIONAL COVERED PARTY—DESIGNATED PERSON OR ORGANIZATION
(GENERAL LIABILITY)
THIS ENDORSEMENT CHANGES THE COVERAGE AGREEMENT.PLEASE READ IT CAREFULLY
This endorsement modifies Coverage provided under the following:
GENERAL LIABILITY COVERAGE PART
This endorsement changes the Coverage Agreement effective on the inception date of the Coverage Agreement unless
another date is indicated above. Providing the certificate of coverage that this endorsement is attached to has been issued by
and is on file with the Company,the following applies.
SCHEDULE
Person or Organization(Additional Covered Party):
Attn: Parks, Recreation &Community Services
City of Kent Housing&Human Services
220 4th Ave. S
Kent,WA 98032
Description of Activities/Operations/Designated Premises:
Regarding contracted services provided, City of Kent Housing & Human Services are named as Additional Covered Party
regarding these contracted services only and are subject to coverage terms, conditions, and exclusions. Additional Covered
Party endorsement is attached.
A. With respects to the General Liability Coverage Part only,the definition of Covered Party in the Liability Conditions,
Definitions and Exclusions section of this Coverage Agreement is amended to include as a Covered Party the
Person or Organization shown in the above Schedule.Such Person or Organization is a Covered Party only with
respect to liability for Bodily Injury,Property Damage,or Personal and Advertising Injury caused in whole or in
part by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In performance of your ongoing operations;or
2. In connection with your premises owned or rented to you.
B. The Limits of Coverage applicable to the additional Covered Party are those specified in either the:
1. Written contract or written agreement; or
2. Declarations for this Coverage Agreement,
whichever is less.These Limits of Coverage are inclusive and not in addition to the Limits of Coverage shown in the
Declarations.
All other terms and conditions remain unchanged.