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HomeMy WebLinkAboutIT13-214 - Insurance Certificate - Alpha Technologies Services, Inc. - Liability Insurance - 06/01/2024 0000238 SP 0207 -001-P00238-1 City of Kent Attn: Sean Kelsey 220 Fourth Avenue South Kent,WA 98032 0207-01-00-0000238-0001-0000675 r& DATE(MM/DD/YYYY) A RQ CERTIFICATE OF LIABILITY INSURANCE 0611 212 0 2 4 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 CONTACT Marsh USA LLC HAMPHONE FAx 1717 Arch Street JAIC,No.Ext). (VC,NO: Philadelphia,PA 19103-2797 E4dA1L ADDRESS: INSURERS AFFORDING COVERAGE NAIC 8 CN102741033--GAWUX-24-25 INSURER A: r _J_rs—Noperty Casualty Cc%Q.of America 25674 INSURED INSURER B: MA NIA Alpha Technologies Services,Inc. 3767 Alpha Way 1 INSURER C. Bellingham,WA 98226 INSURER D: INSURER E. JNSURER F COVERAGES CERTIFICATE NUMBER: CLE-006731738-20 REVISION NUMBER: 1 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 ADDL SUBR POLICYEFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY TC2JGLSA2J706351TIL24 06/1012024 06/10/2025 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE X I OCCUR PREMISES fEa occurrences $ 1,000,000 X Contractual Liability MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY i2i LOC PRODUCTS-COMP/OP A_GG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY TC2JCAP2J70634ATIL24 06/10/2024 06/10/2025 COMB NED11INGLELIMIT $ 3,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Par acciden UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION UB9R7251862451 K(AIDS) 06/10/2024 06/10/2025 X PER - AND EMPLOYERS'LIABILITY BTATt,1T€ 1 1. A ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N U B1 S821 1 BA2451 R(AZ,MA, E.l,EACH ACCIDENT $ WI) 06110/2024 06/1012025 1,000,000 OFFICER/MEMBEREXCLUDED? n N/A (Mandatory to NH) E.L,DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Kent is included as Additional Insured in accordance with the policy provisions of the General Liability policy.General Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured,but only in accordance with the policy's provisions. CERTIFICATE HOLDER CANCELLATION City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Sean Kelsey THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 220 Fourth Avenue South ACCORDANCE WITH THE POLICY PROVISIONS. Kent,WA 98032 AUTHORIZED REPRESENTATIVE 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102741033 _ LOC#: Philadelphia ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA LLC Alpha Technologies Services,Inc. 3767 Alpha Way POLICY NUMBER Bellingham,WA 98226 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance EXCESS LAYER 1 CARRIER:ASCOT INSURANCE COMPANY POLICY NUMBER:EXNA241000003404 EFFECTIVE/EXPIRATION DATES:06/10/2024-06/10/2025 LIMITS:$15M(PART OF$25M)XS$10M EXCESS LAYER 1 CARRIER:ALLIED WORLD SPECIALTY INSURANCE COMPANY POLICY NUMBER:03067304 EFFECTIVE/EXPIRATION DATES:06/1012024-06/10/2025 LIMITS:$10M(PART OF$25M)XS$10M EXCESS LAYER 2 CARRIER:GREAT AMERICAN SECURITY INSURANCE COMPANY POLICY NUMBER:EXC5640375 EFFECTIVE/EXPIRATION DATES:06/10/2024-06/10/2025 LIMITS:$15M XS$35M TOTAL:$50M ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights I The ACORD name and logo are registered marks of ACORD 0207-01-00-0000236-0002-0000676 Marsh Dear Certificate Holder: To streamline certificate delivery for our clients and in an effort to support our firm's commitment to sustainability,going forward, we will only be providing renewal certificates of insurance electronically. If you need to continue receiving a copy of the attached certificate,please send an email to USOperations.email@marsh.com and include the following: --Certificate#(Shown below Insured Name—e.g.,ABC-123456789-01) — E-Mail for future delivery For your convenience, If we do not receive your response, we will conclude that you no longer require proof of insurance from the named insured and will remove you from our records. Thank you, US Operations, Marsh USA, LLC A business of Marsh Mclennan