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HomeMy WebLinkAboutIT05-288 - Insurance Certificate - LeadsOnline Parent, LLC - Insurance - 9/1/23-9/1/24 DATE(MM/DDIYYYY) . 64. R CERTIFICATE OF LIABILITY INSURANCEF`� 9/1/2024 8/22/2024 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). CONTACT PRODUCER Lockton Companies,LLC NAME: 1185 Avenue of the Americas,Suite 2010 PHONE FAX New York NY 10036 E MAILo Ext: A/C No 646-572-7300 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford FireInsurance Company 19682 INSURED LeadsOnline Parent LLC INSURER B:Trumbull Insurance Company Compoy 27120 1530866 dba LeadsOnline LLC INSURER C:Hartford Casualty Insurance Company 29424 6900 Dallas Parkway,Ste 825 INSURER D:--- SEE ATTACHMENT--- Plano TX 75024 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 20861991 REVISION NUMBER: XXXXXXX 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY N N 42UUNAZ7TFV 9/1/2023 9/1/2024 EACH OCCURRENCE $ $1 000 000 A AGE To ENTED CLAIMS-MADE �OCCUR PREM MIS Ea occu ence $ $1 000 000 MED EXP(Any one person) $ $10 000 PERSONAL&ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ $2 00O 000 X POLICY JE� LOC PRODUCTS-COMP/OP AGG $ $2 000 000 OTHER: $ $ AUTOMOBILE LIABILITY COMINED N N 42UENAF7890 9/1/2023 9/1/2024 Ea acc dentSINGLE LIMIT $ $1 00O 000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XXXXXXX X HIRED X NON-OWNED PROPERTY DAMAGE $ XXX�GxXX AUTOS ONLY AUTOS ONLY Per accident $ XXXXXXX C X UMBRELLA LIAB X OCCUR N N 42XHUAZ7W5X 9/1/2023 9/1/2024 EACH OCCURRENCE $ $5 00O 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ $5 000 000 TIED X RETENTION$ 10,000 $ XXXXXXX WORKERS COMPENSATION PER OTH- D AND EMPLOYERS'LIABILITY Y/N N 42WE AZ7TFA 9/1/2023 9/1/2024 X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ $1 000 000 OFFICER/MEMBER EXCLUDED? I NJ (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) CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20861991 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Kent ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management 400 West Gowe Street AUTHORIZED REPRf?5T�Iri 1 4 IVE Kent,WA 98032r' ©1988-2015 ACORD CORPORATION. I rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Attachment Code: D633083 Master ID: 1530866,Certificate ID: 20861991 CompanyIssuing . .rker's Compensation Arizona Hartford Insurance Company of the Southeast Hartford Casualty Insurance Company NAIC #29424 Colorado Hartford Fire Insurance Company Delaware Hartford Insurance Company of the Southeast Florida Twin City Fire Insurance Company Indiana Hartford Insurance Company of the Southeast Maryland Property and Casualty Insurance Company of Hartford Michigan Sentinel Insurance Company Ltd. New Jersey Hartford Underwriters Insurance Company Ohio Twin City Fire Insurance Company Oregon Hartford Accident and Indemnity Company South Carolina Sentinel Insurance Company Ltd. Texas Hartford Insurance Company of Illinois Virginia Hartford Insurance Company of Illinois Attachment Code:D633089 Master ID: 1530866,Certificate ID: 20861991 L0w City of KentRisk Management 400 West Gowe Street Kent,WA98032 Dear LeadsOnline Parent LLC certificate holder: In an effort to meet demand for instant electronic delivery of certificates, Lockton Companies now provides paperless delivery of Certificates of Insurance. Thank you for your patience and willingness to help us lessen our environmental footprint. To fulfill your certificate delivery, we need your email address. Please contact us via one of the methods below with your Holder ID number, email address, and phone number in the event we have any questions. Your Holder ID number is20861991. • Email: LeadsOnlineCertRequests@Lockton.com • Toll-free automated phone service: 866-218-4018 If this certificate is no longer needed or valid, please notify us. Thank you, Lockton Companies Lockton Companies Three CityPlace Dr, Suite 900/St. Louis,MO 63141-7088 314-432-0500/FAX: 314-812-3299 lockton.com