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HomeMy WebLinkAboutSkanska City of Renton_Drone_11.15.22Holder Identifier : 7777777707070700077761616045571110764626137236554207772315753416201070772764264333200752637313077211007660550360223552073732177301235710723710175103155307625610422051112076727242035772000777777707000707007 7777777707070700073525677115456000702673757653767507231044135631171073210050207335320752333670713200407127233713122140071723333470225510707772374757244407422336253067111077756163351765540777777707000707007CERTIFICATE NUMBER:CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY)
11/15/2022
Aon Risk Services Northeast, Inc.
PRODUCER
New York NY OfficeOne Liberty Plaza165 Broadway, Suite 3201New York NY 10006 USA
(866) 283-7122 (800) 363-0105
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.
CONTACT
NAME:
PHONE
(A/C. No. Ext):
E-MAIL
ADDRESS:
PRODUCER
CUSTOMER ID #:
FAX
(A/C. No.):
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:National Liability & Fire Insurance Co. 20052
INSURER B:
570000027144
INSURER D:
INSURER E:
INSURER F:
INSURER C:
INSURED
Skanska USA Building Inc.
221 Yale Avenue North, Suite 400
Seattle WA 98109 USA
LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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.
POLICY EXPIRATION
DATE (MM/DD/YYYY)LIMITS COVERED PROPERTYPOLICY EFFECTIVE
DATE (MM/DD/YYYY)POLICY NUMBER TYPE OF INSURANCEINSR
LTR
PROPERTY
CAUSES OF LOSS
BASIC
BROAD
EARTHQUAKE
FLOOD
BUILDING
PERSONAL PROPERTY
BUSINESS INCOME
EXTRA EXPENSE
BLANKET BUILDING
BLANKET PERS PROP
BLANKET BLDG & PP
WIND
DEDUCTIBLES
BUILDING
CONTENTS RENTAL VALUESPECIAL
INLAND MARINE TYPE OF POLICY
CAUSES OF LOSS
NAMED PERILS
POLICY NUMBER
CRIME
TYPE OF POLICY
BOILER & MACHINERY /
EQUIPMENT BREAKDOWN
$25,000,000Per occurrenceAAAA05/01/2022 05/01/2023
Unmanned Aerial
Air Liab & Hull SIHL1L106 X
SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
AUTHORIZED REPRESENTATIVE
City of Renton
1055 South Grady Way
Renton WA 98057 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
PROVISIONS.
ACORD 24 (2016/03)
© 1995-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
COMPANY
Companies Affording coverage
PERCENTAGE
OF
RISK
NAIC PRIMARY
(Y/N)
FLAG
ADDITIONAL REMARKS SCHEDULE
AGENCY CUSTOMER ID:
LOC #:
ADDITIONAL REMARKS
AGENCY
POLICY NUMBER
CARRIER
See Certificate Number:
EFFECTIVE DATE:
NAIC CODE
NAMED INSURED
See Certificate Number:
FORM NUMBER:Certificate of Property InsuranceFORM TITLE:ACORD 24
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
LINE OF BUSINESS DESCRIPTION POLICY
EXPIRATION
DATE
(MM/DD/YYYY)
POLICY
EFFECTIVE
DATE
(MM/DD/YYYY)
POLICY NUMBER
Aon Risk Services Northeast, Inc.
570000027144
Page _ of _
Skanska USA Building Inc.
National Liability & Fire
Insurance Co.
20052 50
ACE American Insurance Company 22667 50
Y
N
Aviation/Aircraft
Liability & Hull Cover
Aviation/Aircraft Liability & Hull Cover
SIHL1L106
SIHL1L106
5/1/2022 5/1/2023
5/1/2022 5/1/2023
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