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HomeMy WebLinkAboutM_COI_20230606_v21 of 12 (KRC00) CERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS WC STATU-TORY LIMITS OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe underDESCRIPTION OF OPERATIONS below (Mandatory in NH)OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. 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. INSR ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 06/01/2023 Parker, Smith & Feek Insurance, LLC. 1707 Dock Street Tacoma, WA 98402 253-359-9700 Cincinnati Insurance Company Venture General Contracting LLC 1518 1st Ave S #400 Seattle, WA 98134 The Cincinnati Casualty Company Indian Harbor Insurance Company A X 1,000,000 8 8 8 Deductible: $10,000 8 8 EPP0683878 06/01/2023 06/01/2025 200,000 15,000 1,000,000 2,000,000 2,000,000 A 1,000,000 8 X EPP0683878 06/01/2023 06/01/2025 B 806/01/2023 06/01/2024 1,000,000 EWC0686404 ** Employer's Liability/WA Stop Gap 1,000,000 1,000,000 C Pollution Liability Contractors Pollution Liability X CEO744620605 06/01/2023 06/01/2024 $1,000,000 Each Incident; $1,000,000 Aggregate City of Renton - C22005747 Sounders FC at Longacres V2. City of Renton is an additional insured on the general liability, automobile, and pollution policies per the attached endorsements/forms... (See Attached Description) City of Renton 1055 South Grady Way Renton, WA 98057 2 of 12 (KRC00) DESCRIPTIONS (Continued from Page ) 1 . Coverage is primary and non-contributory on the general liability, automobile, and pollution policies per the attached endorsements/forms. Notice of cancellation for the general liability policy per the attached form. 3 of 12 (KRC00) 4 of 12 (KRC00) 5 of 12 (KRC00) 6 of 12 (KRC00) 7 of 12 (KRC00) an "auto" you previously owned that had that coverage; and b. You tell us within 30 days after you acquire it that you want us to cover it for that coverage. C. Gertain Trailerc, Mobile Equipment and Temporary Substitute Autos lf Liability Coverage is proMded by this Cover- age Form, the following types of vehicles are also covered "autos" for Liability Coverage: 1. 'Trailers" with a load capacity of 2,000 pounds or less designed primarily for travel on public roads. 2. "Mobile equipment" while being carried or towed by a covered "auto". 3. Any "auto" you do not own while used with the permission of its owner as a tem- porary substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair; c. SerMcing; d. "Loss"; or e. Destruction, A. Coverage We will pay all sums an "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance ap- plies, caused by an "accident" and resulting from the ownership, maintenance or use of a covered "auto". We will also pay all sums an "insured" legally must pay as a "covered pollution cost or ex-pense" to which this insuranoe applies, caused by an "accident" and resulting fom the ownership, maintenance or use of covered "autos". However, we will only pay for the "covered pollution cost or expense" if there is either "bodily injury" or "property damage" to which this insurance applies that is caused by the same "acddent". We have the right and duty to defend any "in- sured" against a "suit' asking for such dam- ages or a "covered pollr-rtion cost or e)rpense". However, we have no duty to defend any "in- sured" against a "suit" seeking damages for "bodily injury" or "property damage" or a "cov- ered pollution cost or e4cense" to which this insurance does not apply. We may investigate and settle any claim or "suit" as we consider appropriate. Our duty to defend or settle ends when the Liability Coverage Limit of lnsurance has been exhausted by payment ofjudgments or settlements. 1. Who is an lnsured The following are "insureds': a. You for any covered "auto". b. Anyone else while using with your permission a covered "auto" you own, hire or borrow except: (1 ) The owner or anyone else from whom you hire or borrow a cov- ered "auto". This exception does SECTION II - LIABILITY COVERAGE lncludes mpyrighted material of lnsurance Services Office, lnc., with its permission. not apply if the covered "auto" isa "traile/' connected to a cov- ered "auto" you own. (2) Your "employee" if the covered "auto" is owned by that "em- ployee" or a member of his or her household. (3) Someone using a covered "auto" while he or she is working in a business of selling, servicing, repairing, parking or storing "autos' unless that business is yours. (4) Anyone other than your "em- ployees", partners (if you are a partnership), members (if you are a limited liability company), or a lessee or borrower or any of their "employees", while moving property to or from a covered "auto". (5) A partner (if you are a partner- ship), or a member (if you are a limited liability company), for a covered "auto" owned by him or her or a member of his or her household. c. Anyone liable for the conduct of an "insured" described above but only to the etent of that liability. 2. Coverage Extensions a. SupplementaryPayments We will pay for the "insured": (1) All expenses we incur. (2) Up to $2,000 for the cost of bail bonds (including bonds for re- lated traffic law violations) re- quired because of an "accident" AA 101 03 06 Page2of 14 8 of 12 (KRC00) (2) Take all reasonable steps to pro- tect the covered "auto" from fur- ther damage. Also keep a record of your expenses for considera- tion in the settlement of the claim. (3) Permit us to inspect the covered "auto" and records proving the loss" before its repair or disposi- tion. (4) Agree to examinations under oath at our request and give us a signed statement of your an- swers. 3. LegalAction Against Us No one may bring a legal action against us under this Coverage Form until: a. There has been full compliance with all the terms of this Coverage Form; and b. Under Liability Coverage, we agree in writing that the "insured" has an obligatlon to pay or until the amount of that obligation has finally been de- termined by judgment after trial. No one has the right under this policy to bring us into an action to determine the "insured's" liability. 4. Loss Payment - Physical Damage Cov- erages At our option we may: a. Pay frr, repair or replace damaged or stolen property; b. Return the stolen property, at our ex- pense. We will pay for any damage that results to the "auto" from the theft;or c. Take all or any part of the damaged or stolen property at an agreed or appraised value. lf we pay for the "loss", our payment will include the applicable sales tax for the damaged or stolen property. 5. Transfer of Rights of Recovery Against Others to Us lf any person or organization to or for whom we make payment under this Cov- erage Form has rights to recover dam- ages from another, those rights are trans- ferred to us. That person or organization must do everything ne€ssary to secure our rights and must do nothing after "ac- cident" or "loss" to impair them. B. GeneralConditions 1. Bankruptcy Bankruptcy or insolvency of the "insured" or the "insured's" estate will not relieve us of any obligations under this Coverage Form. 2. Concealment, Misrcpresentation or Fraud This Coverage Form is void in any case of fraud by you at any time as it relates to this Coverage Form. lt is also void if you or any other "insured", at any time, inten- tionally conceal or misrepresent a mate- rial fact concerning: a. This Coverage Form; b. The covered "auto"; c, Your interest in the covered "auto"; or d. A claim under this Coverage Form. 3. Liberalization lf within 60 days prior to the beginning of this Coverage Part or during the policy period, we make any changes to any forms or endorsements of this Coverage Part for which there is currently no sepa- rate premium charge, and that change provides more @verage than this Cover- age Part, the change will automatically apply to this Coverage Part as of the lat- ter of: a. The date we implemented the change in your state; or b. The date this Coverage Part became effective, and will be considered as included until the end of the current policy period. We will make no additional premium charge for this additional coverage during the in- terim. 4. No Benefit to Bailee - Physical Damage Coverages We will not recognize any assignment or grant any coverage for the benefit of any person or organization holding, storing or transporting property for a fee regardless of any other proVsion of this Coverage Form. 5. Other lnsurance a. For any covered "auto" you own, this Coverage Form provides primary in- surance. For any covered "auto" you don't own, the insurance provided by this Coverage Form is excess over any other collectible insurance. How- ever, while a covered "auto" which is lncludes copyrighted material of lnsurance Services Office, lnc., with its permission.AA 101 03 06 Page 9 of 14 9 of 12 (KRC00) a 'traile/' is connected to another ve- hicle, the Liability Coverage this Coverage Form provides for the 'trailer" is: (1) Excess while it is conneded to a motor vehicle you do not own. (2) Primary while it is connected to a covered "auto" you own. b. For Hired Auto Physical Damage Coverage, any covered "auto" you lease, hire, rent or borrow is deemedto be a covered "auto" you own. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". c. Regardless of the proMsions of Paragraph a. above, this Coverage Form's Liability Coverage is primary for any liability assumed under an "insured contract". d. When this Coverage Form and any other Coverage Form or policy cov- ers on the same basis, either excessor primary, we will pay only our share. Our share is the proportion that the Limit of lnsurance of our Coverage Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis. 6. Premium Audit a. The estimated premium for this Cov- erage Form is based on the e>po- sures you told us you would have when this policy began. We will com- pute the final premium due when we determine your actual exposures. The estimated total premium will be credited against the final premium due and the first Named lnsured will be billed for the balance, if any. The due date for the final premium or ret- rospective premium is the date shown as the due date on the bill. lf the estimated total premium exceedsthe final premium due, the first Named lnsured will get a refund. b. lf this policy is issued for more than one year, the premium for this Cov- erage Form will be computed annu- ally based on our rates or premiums in effect at the beginning of each year of the policy. 7. Policy Period, Coverage Territory Under this Coverage Form, we cover "ac- cidents" and "losses' occurring: a. During the Policy Period shown in the Declarations; and b. Within the coverage territory. The coverage territory is: a. The United States of America; b. The territories and possessions of the United States of America; c. Puerto Rico; d. Canada; and e. Anywhere in the world if: (1) A covered "auto" of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 30 days or less; and (2) The "insured's" responsibility to pay damages is determined in a "suit" on the merits, in the United States of America, the territories and possessions of the United States of America, Puerto Rico, or Canada or in a settlement we agree to. We also cover "loss" to, or "accidents' in- volving, a covered "auto" while being transported between any of these places. 8. Two or More Coverage Forms or Poli- cies lssued by Us lf this Coverage Form and any other Cov- erage Form or policy issued to you by us or any company affiliated with us apply to the same "accident", the aggregate maxi- mum Limit of lnsurance under all the Coverage Forms or policies shall not ex- ceed the highest applicable Limit of ln- surance under any one Coverage Form or policy. This condition does not apply to any Coverage Form or policy issued by us or an affiliated company specifically to apply as excess insurance over this Cov- erage Form. lncludes mpyrighted material of lnsurance SeMces Office, lnc., with its permission.AA 101 03 06 Page 10 of 14 10 of 12 (KRC00) 11 of 12 (KRC00) 12 of 12 (KRC00)