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HomeMy WebLinkAboutIT07-321 - Insurance Certificate - Coplogic, Inc. - Liability Coverage - 01/01/2024 IT07-321 DATE(MM/DD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE F 12/19/2023 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 2 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 4) NAME: Aon Risk Services Northeast, Inc. Boston MA Office (A/cC.No.Ext): (866) 283-7122 FAX No.): (800) 363-0105 a 53 State Street E-MAIL p Suite 2201 ADDRESS: _ Boston MA 02109 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ACE American Insurance Company 22667 Coplogic, a RELX Inc Company INSURER B: Zurich American Ins CO 16535 231 Market Place Suite 520 INSURER C: San Ramon CA 94583 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570103113346 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. Limits shown are as requested INSR TYPE OF INSURANCE ADD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DDYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY OGLG4 1 1/Y 4 0110112025 EACH OCCURRENCE $10,000,000 CLAIMS-MADE X❑OCCUR DAMAGE TO RENTED $1,000,000 PREMISES Ea occurrence MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $10,000,000 co GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $10,000,000 co POLICY JE� ❑X LOC PRODUCTS-COMP/OPAGG $10,000,000 o OTHER: Host Liquor Liab $5,000,000 0 B BAP 8376848 25 01/01/2024 01/01/2025 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $5,OOO,OOO Ea accident X ANYAUTO BODILY INJURY(Per person) C Z OWNED SCHEDULED BODILY INJURY(Per accident) N AUTOS ONLY AUTOS jp HI RED AUTOS NON-OWNED PROPERTY DAMAGE V ONLY AUTOS ONLY Per accident — X Collision Ded$1,000 X Comp Ded$1,000 r N UMBRELLA LIAB OCCUR EACH OCCURRENCE V EXCESS LIAB HCLAIMS-MADE AGGREGATE DED I RETENTION B WORKERS COMPENSATION AND WC837684525 01/01/2024 01/01/2025 X I PER STATUTE I OTH- EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000-- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 5 The City of Kent is added as additional insured on the General Liability subject to the policy limitations, conditions and - = exclusions. ♦ 41— J IIIT 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 AUTHORIZED REPRESENTATIVE n 220 Fourth Ave S k7 Kent WA 98032 USA ,j�� 15e eXXa7z c�Gd�G r�s Y d cige /// JL OE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000055869 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. Coplogic, a RELX Inc Company POLICY NUMBER see Certificate Number: 570103113346 CARRIER NAIC CODE See Certificate Number: 570103113346 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. INSR ADDL SUBR POLICY NUMBER POLICY POLICY LIMITS TYPE OF INSURANCE EFFECTIVE EXPIRATION LTR INSD WVD DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY A OGLG46663160 01/01/2024 01/01/2025 Deductible $15,000 ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000055869 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. CoDloaic, a RELX Inc Comoanv POLICY NUMBER See Certificate Number: 570103113346 CARRIER 7�1 See Certificate Number: 570103113346 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Companies Affording coverage LINE OF BUSINESS DESCRIPTION POLICY NUMBER POLICY POLICY COMPANY NAIC PRIMARY PERCENTAG EFFECTIVE EXPIRATION (YIN) OF DATE DATE FLAG RISK (MM/DD/YYYY) (MM/DD/YYYY) Business Auto Coverage BAP 8376848 25 1/1/2024 1/1/2025 Zurich American Ins Co 16535 Y 100 General Liability OGLG46663160 1/1/2024 1/1/2025 ACE American Insurance Company 22667 Y 100 Coverage workers Compensation WC837684525 1/1/2024 1/1/2025 Zurich American Ins Co 16535 Y 100 The Subscribing insurers' obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligations. ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD