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062-18 - West Sound Utility District - Insurance Exp 11-1-2022,4�oRo CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11 /4/2021 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 Alliant Insurance Services, Inc. 1420 Fifth Avenue, Suite 1500 Seattle WA 98101 INSURED VVA WEST SOUND UTILITY DISTRICT C/O WATER & SEWER RISK MANAGEMENT POOL (WSRMP) 40 LAKE BELLEVUE DRIVE, SUITE 220 BELLEVUE WA 98005 Jamie Arnoldi 949-627-7000 I INSURER(S) AFFORDING COVERAGE I NAIC 0 1 INSURER A: WSRMP - Water & Sewer Risk Man INSURER B.: INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:373656735 REVISION NUMBER: 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. INSLTR ADDLITYPE OF INSURANCE iNsn vvDuBk- POLICY NUMBER POLICY MM/LDICDY� LIMITS LTR A X COMMERCIAL GENERAL LIABILITY WSRMP21-22 11/1/2021 11/1/2022 EACH OCCURRENCE $10.000,000 CLAIMS -MADE " OCCUR PRE SES Ea oocun'RENTEDan $ 10.000,000 X MED EXP (Any one person) $ SIR: $200,000 PERSONAL & ADV INJURY $ 10,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10.000.000 X �JLOC POLICY E CT C- PRODUCTS - COMP/OP AGG $ $ OTHER: I A AUTOMOBILE LIABILITY WSRMP21-22 11/1/2021 11/1/2022 COMBINED SINGLE LIMIT .,.tEa arc�dentj $10.000.000 X $ ANY AUTO BODILY INJURY (Per person) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROP GE _ del! $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS MADE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L, EACH ACCIDENT $ OFFICER/M EMBER EXCLUDEI ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ E. i DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) AS RESPECTS ORDINANCE NO. 016-18. CERTIFICATE HOLDER CANCELLATION CITY OF PORT ORCHARD MAYOR 216 PROSPECT STREET PORT ORCHARD WA 98366 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD