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062-18 - West Sound Utility District - Insurance Exp 11-1-2020
A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 11/1/2019 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 CONTACT NAME: Joyce Roberts Alliant Insurance Services, Inc. PHONE FAX 1420 Fifth Avenue, Suite 1500 AIC No Ext : 206-204-9140 AIC No): 206-204-9205 ADDRESS: jeroberts@alliant.com Seattle WA 98101 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: WSRMP - Water & Sewer Risk Management Pool INSURED WATEAND-01 INSURER B : WEST SOUND UTILITY DISTRICT C/O WATER & SEWER RISK MANAGEMENT POOL (WSRMP) INSURERC: INSURER D : 1750 112th AVE NE, B215 INSURER E : BELLEVUE WA 98004 INSURER F : COVERAGES CERTIFICATE NUMBER:399238898 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY WSRMP19-20 11/1/2019 11/1/2020 EACH OCCURRENCE $10,000,000 Fv� CLAIMS -MADE OCCUR DAMAGE TO PREMISES(E. occur ante)$ 10,000,000 X MED EXP (Any one person) $ SIR: $200,000 PERSONAL & ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 POLICY ❑ JECT PRO- ❑ LOC X PRODUCTS - COMP/OP AGG $ $ OTHER: A AUTOMOBILE LIABILITY WSRMP19-20 11/1/2019 11/1/2020 COMBINED SINGLE LIMIT Ea accident $10,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AS RESPECTS ORDINANCE NO. 016-18. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF PORT ORCHARD ACCORDANCE WITH THE POLICY PROVISIONS. MAYOR AUTHORIZED REPRESENTATIVE 216 PROSPECT STREET PORT ORCHARD WA 98366 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Declaration # 34 - PUBLIC UTILITIES 2 ALLIANT INSURANCE SERVICES, INC. Declaration # 34 - PUBLIC UTILITIES 2 (1B Carriers) ALLIANT PROPERTY INSURANCE PROGRAM Effective July 1, 2018 to July 1, 2019 SCHEDULE OF CARRIERS Declaration # 34 - PUBLIC UTILITIES 2 Earthquake, Flood, B&M, Terrorism, Cyber, & Pollution limits listed below apply to Named Insureds who purchase coverage. Percentages are approximate and participation will not exceed the All Risk Limit purchased by Named Insured. $ 2,500,000 All Risk Including EQ & FL Including B&M 100.0000% $ 2,500,000 Lexington Insurance Company 017471589/05(Insurance) 0174715 90/05 (Reinsurance) 100.0000% $ 2,500,000 $ 22,500,000 To pay the difference between $25,000,000 (100%) per occurrence/ per Declaration and $2,500,000 (for 100%) per occurrence, all Members over all Declarations combined. Subject to an annual aggregate (for 100%) as held on file with Alliant Insurance Services. All Risk Including EQ & FL Including B&M 39.5000% $ 8,887,500 Underwriters at Lloyds - Syndicates; AMA1200, ASC1414, XLC 2003, TAL 1183, MSP 318, CNP4444, ATL1861, KLN 510, AGR 3268 PJ183647 5.0000% $ 1,125,000 Ironshore Specialty Insurance Company 003661400 3.0000% $ 675,000 Homeland Insurance Company of NY (One Beacon) 798000072 7.5000% $ 1,687,500 Aspen Insurance UK Limited PRAGET718 5.0000% $ 1,125,000 Hallmark Specialty Insurance Company 73PRX189DC8 40.0000% $ 9,000,000 Lexington Insurance Co. 011660453/06(Insurance) 011660482/06(Reinsurance) 100.0000% $ $ 22,5009000 25,000,000 Excess $25,000,000 All Risk Including EQ & FL and B&M 5.0000% $ 1,250,000 Endurance Worldwide Insurance Limited PJ182696 37.5000% $ 9,375,000 Underwriters at Lloyds -Syndicate; ASC-1414, KLN0510, APL 1969, ENH PJ182696 5151, CHN 2015, ATL 1861, SCC 1301, AES 1225, AUL 1274, BRT 2987 7.5000% $ 1,875,000 Brit Global Specialty London Syndicates 2987 & 2988 PD-10359-04 10.0000% $ 2,500,000 Hallmark Specialty Insurance Company 73PRX18F560 10.0000% $ 2,500,000 Hallmark/Lloyds Syndicate Novae 2007 93PRX181`561 I I I I I III I I I $ 100,000,000 Excess of $25,000,000 All Risk Including EQ & Flood and B&M 15.0000% $ 15,000,000 Lexington Insurance Co. 025860227/03 (Insurance) 025860228/03(Reinsurance) 15.0000% $ 15,000,000 $ 100,000,000 Excess of $25,000,000 All Risk Including EQ & Flood, excluding B&M 15.0000% $ 15,000,000 Evanston Ins. Co. (15% po $25M xs $25M EQ at loc. in CA) MKLV 14XPOI0747 15.0000% $ 15,0009000 $ 50,000,000 Excess of $50,000,000 All Risk Including EQ & FL, excluding EQ at locations in CA and B&M 15.0000% $ 7,500,000 Ironshore Specialty Insurance Company 0005172079 15.0000% $ 7,500,000 $ 50,000,000 Excess of $50,000,000 All Risk Including EQ & FL and B&M 7.0000% $ 3,500,000 Underwriters at Lloyds - Syndicate 609 (AUW) PJ183297 3.0000% $ 1,500,000 Underwriters at Lloyds - Syndicate 2987 (BRT) PJ183297 10.0000% III III $ 150,000,000 Excess of $50,000,000 All Risk Including EQ & FL, excluding EQ at locations in CA and B&M 6.6600% $ 9,990,000 Arch Specialty Ins. Co. ESP7301424-04 6.6600% $ 9,990,000 $ 75,000,000 Excess of $50,000,000 All Risk Including EQ & FL and B&M 3.5000% $ 2,625,000 Underwriters at Lloyds- Syndicates ASC1414 & BRT 2987 PJ182696 III'. $ 2,6259000 $ 75,000,000 Excess of $50,000,000 All Risk Including EQ & FL, excluding EQ at locations in CA and B&M 12.5000% $ 9,375,000 Hallmark Specialty Insurance Company 73PRX18F4EE 12.5000% $ 9,375,000 Hallmark/Lloyds Syndicate Novae 2007 93PRX18174EF 9.8400% $ 7,380,000 Maxum Indemnity Company MSP-6016171-08 ;II% $ 26,1309000 25,000,000 Excess of $100,000,000 All Risk Including EQ & FL, excluding B&M 5.0000% 10.0000% 10.0000% $ $ $ 1,250,000 2,500,000 2,500,000 Underwriters at Lloyds - Syndicate # AUL 1274 Underwriters at Lloyds - Syndicate # AUL 5151 Endurance Worldwide Insurance Limited PJ183296 PJ183296 PJ183296 25.0000% S $ 6,250,000 50,000,000 Excess of $125,000,000 All Risk Including EQ & FL, excluding EQ at locations in CA and B&M 10.0000% $ 5,000,000 Lancashire Insurance Company (UK) Limitei PJ1800099 10.0000% S $ 5,000,000 75,000,000 Excess of $125,000,000 All Risk Including EQ & FL, excluding EQ at locations in CA and B&M 34.1730% 5.0000% 6.6670% 25.0000% 12.5000% $ $ $ $ $ 25,629,750 3,750,000 5,000,250 18,750,000 9,375,000 Underwriters at Lloyds -Syndicate; ASC 1414, ATL 1861, AMA1200, CHN 2015, ARK 4020, APL 1969, BRT 2987, LIB 4472, NEON 2468 & 4242, SCC 1301 Partner Re Chubb European Group, LTD Westport Insurance Corporation (Swiss Re) Lexington Insurance Co. PJ182696 PJ182696 PJ182711 NAP 2000215 04 011660462/06 (Insurance) 0 11660463/06 (Reinsurance) 83.3400% $ $ 62,5059000 25,000,000 Excess of $175,000,000 All Risk Including EQ & FL, excluding EQ at locations in CA and B&M 10.0000% $ 2,500,000 Endurance Worldwide Insurance Limited / ENH 5151 PJ1800098 10.0000% $ II III 7590009000 Excess of $200,000,000 All Risk Including EQ & FL, excluding EQ at locations in CA and B&M 10.0000% 90.0000% $ $ 7,500,000 67,500,000 Ironshore Specialty Insurance Company Lexington Insurance Co. 001703505 025860205/04 (Insurance) 025860206/04 (Reinsurance) 100.0000% S $ 75,0009000 12590009000 Excess of $275,000,000 All Risk Including EQ & FL, excluding CA EQ and B&M 49.6700% 13.3300% 7.0000% 5.0000% 10.0000% 15.0000% $ $ $ $ $ $ 62,087,500 16,662,500 8,750,000 6,250,000 12,500,000 18,750,000 Underwriters at Lloyds -Syndicate; ASC1414, KLN 0510, QBE 1886, ARK 4020, NEON 2468 & 4242, TAL 1183, VSM 5678, SCC 1301, HDU 0382 Chubb European Group, LTD Underwriters at Lloyds - Syndicate XLC 2003 Underwriters at Lloyds -Syndicate; CGM 2488 PartnerRe Ireland Insurance Ltd. Westport Insurance Corporation (Swiss Re) PJ182696 PJ182711 PJ183227 PJ182711 PJ182696 NAP 2000215 04 II IIII% $ III III 100,000,000 Excess of $400,000,000 All Risk Including Earthquake and Flood, excluding CA EQ and B&M 100.0000% $ 100,000,000 Lexington Insurance Co. 011465908/05 (Insurance) 011465909/05 (Reinsurance) II IIII' $ II III III 30090009000 Excess of $500,000,000 All Risk Including Earthquake and Flood, excluding EQ at locations in CA, Flood zone AN (100yr) and B&M 100.0000% $ 300,000,000 XL Insurance America, Inc. US00010377PR18A II IIII' $ II III III 200,000,000 Excess of $800,000,000 All Risk Excluding EQ & FL and B&M 50.0000% 50.0000% $ $ 100,000,000 100,000,000 Homeland Insurance Company of NY (One Beacon) Westport Insurance Corporation (Swiss Re) 795008110 NAP 2000215 04 100.0000% S 200,000,000 EXCESS BOILER PROGRAM $25,000,000 Excess of $25,000,000 Boiler and Machinery 011660456/06 (Insurance) 20.0000% $ 5,000,000 Lexington Insurance Company 0 1166045 8/06 (Reinsurance) 20.0000% $ 5,0009000 $75,000,000 Excess of $25,000,000 Boiler and Machinery 011660456/06(Insurance) 15.0000% $ 11,250,000 Lexington Insurance Company 011660458/06 (Reinsurance) IIII', S 11,250,000 $50,000,000 Excess of $50,000,000 Boiler and Machinery 011660456/06 (Insurance) 56.5000% $ 28,250,000 Lexington Insurance Company 011660458/06 (Reinsurance) III'. 28,250,000 TERRORISM POLICIES $ 100,000,000 per Named Insured / $100,000,000 per occurrence. / $200,000,000 annual aggregate. 60.0000% $ 60,000,000 Underwriters at Lloyds -Syndicates; ASC 1414, Aqueduct Portfolio PJ1833870 Management 40.0000% $ 40,000,000 Lexington Insurance Company 025860244/02 (Insurance) 025960246/02 (Reinsurance) 100.0000% $ I I III I I I $ 300,000,000 per Named Insured excess of $100,000,000 / $800,000,000 per occurrence excess of $100,000,000. / $800,000,000 annual aggregate excess of $200,000,000. 100.0000% $ 300,000,000 Underwriters at Lloyds -Syndicates; ASC 1414, BRT 2987, AUW 609, HIS PJ1831689 33, XLC 2003, LIB 4472, TAL 1183, AFB 2623, AFB 0623, COF 1036; Lancashire Insurance, Aqueduct Portfolio Management $ 300,000,000 per Named Insured excess of $400,000,000 / $300,000,000 per occurrence excess of $900,000,000. / $600,000,000 annual aggregate excess of $1,000,000,000. 100.0000% $ 300,000,000 Underwriters at Lloyds -Syndicate; BRT 2987, 2988 and Brit Political PJ1800033 Violence Consortium 9156, XLC 2003, LIB 4472, TAL 1183, COF 1036, ATL 1861, AFB 2623 and 623, Lancashire Insurance 100.0000% $ 300,000,000 CYBER LIABILITY 100.0000% Lloyd's Syndicate - Beazley 2623-623 PH1833938 See Policy POLLUTION LIABILITY POLICY 100.0000% CHUBB G24544837 008