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HomeMy WebLinkAboutBrink Electric LLC_City of RentonSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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 THISCERTIFICATE 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 12/15/2025 Parker Smith &Feek Insurance LLC10400NE4thStSuite900BellevueWA98004 Emergingdesk 425-709-3696 425-709-7460 PNW-Emergingdesk@imacorp.com License#:PC-1719201 Ohio Security Insurance Company 24082 BRINELE-01 Alaska National Insurance Company 38733BrinkElectricLLCPOBox347LakeStevensWA98258 Aspen Specialty Insurance Company 10717 1972548114 A X 1,000,000 X 500,000 15,000 1,000,000 2,000,000 X X Y Y 25GFS/LS13702 7/12/2025 7/12/2026 2,000,000 B 1,000,000 X X X Y Y 25GAS13702 7/12/2025 7/12/2026 B X X 4,000,000Y25GLU137027/12/2025Y 7/12/2026 4,000,000 X 10,000 SIR A 25GFS/LS13702 7/12/2025 7/12/2026 X WA Stop Gap 1,000,000 1,000,000 2,000,000 C PollutionLiability Contractor's ER00QPH25 7/12/2025 7/12/2026 LimitDeductible $2,000,000$5,000 Project:Hazen High School Site Work for Portable Classrooms 2024.Certificate Holder and all other parties required by the contract are included as Additional Insured on the General Liability,Automobile Liability and ExcessLiabilityPolicies,if required by written contract or agreement,subject to the policy terms and conditions.This Insurance is Primary &Non-Contributory on theGeneralLiability,Automobile Liability and Excess Liability Policies,if required by written contract or agreement,subject to the policy terms and conditions.AWaiverofSubrogationisprovidedinfavoroftheCertificateHolderandallotherpartiesrequiredbythecontractontheGeneralLiability,Automobile LiabilityandExcessLiabilityPolicies,if required by written contract or agreement,subject to the policy terms and conditions. City of Renton1055SouthGrady WayRentonWA98057 COPPERPOINT | ALASKA NATIONAL | PACIFICCOMP This information is provided as a general overview. Actual coverage and services may vary and is subject to policy language as issued. Coverage is underwritten by one of the CopperPoint Family of Insurance Companies (“CopperPoint”) and is offered through licensed agents and brokers. CopperPoint Insurance Company and its subsidiaries carry AM Best ratings of “A” (Excellent). California policies are underwritten by Pacific Compensation Insurance Company and Alaska National Insurance Company. © 2023 CopperPoint Mutual Insurance Holding Co. All Rights Reserved. AKN-1066 04 | 23 1 Business Auto | Enhancement Endorsement Alaska National’s Business Auto Enhancement provides additional coverages for your fleet, and is designed to protect your business. COVERAGES ENHANCEMENT LIMIT ISO COVERAGE FORM Bodily Injury redefined to include mental anguish Included None Additional Insured by written contract Included None Primary & Non-Contributory arising from a written contract Included None Transfer of Rights of Recovery against others to us Included None Employee Hired Auto while working Included None Employee hired or rented vehicles for use in a business are covered Included None Concealment, Misrepresentation or Fraud restriction of coverage clarification Coverage if unintentional Intent may not be clear Glass Breakage Deductible waived for repair None Rental Reimbursement Coverage arising out of a loss to a covered auto under 20,000 lbs. of Gross Vehicle Weight $75 per day / 30 days maximum Optional for private passenger vehicles Towing & Labor Coverage on vehicles up to 20,000 lbs. of Gross Vehicle Weight $500 for towing & labor Optional up to $200 Reasonable Expenses, incl. lost wages at our request to assist in settlement $500 per day $250 per day Loss of Use of a hired, rented, or borrowed vehicle without driver, but with contract $200 per day / $1500 maximum $20 per day / $600 maximum Non-transportation expense from damage to a covered auto – Miscellaneous Expenses $2,000 None Theft of vehicle – Temporary Transportation Expense $200 per day / $1500 maximum $20 per day / $600 maximum Voluntary Property Damage at Insured’s request May pay up to $25,000 None Bail Bonds – Supplementary Payments $10,000 $2,000 Airbag – Other than collision Included None