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062-18 - West Sound Utility District - Insurance 7-1-202277/27/2021 (MMIDD/YYYY) ACOR" EVIDENCE OF PROPERTY INSURANCE �� THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EYIDENGE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY Alliant Insurance Services 1420 Fifth Avenue, Suite 1500 Seattle, WA 98101 iai NO: 206-204-9205 `_6D-0sse eroberts alliant.com CODE: SUB CODE: AGENCY CUSTOMEl7,DO #: INSURED WEST SOUND UTILITY DISTRICT C/O WATER & SEWER RISK MANAGEMENT POOL (WSRMP) 40 LAKE BELLEVUE DRIVE, SUITE 220 BELLEVUE, WA 98005 PROPERTY INFORMATION LOCATION/DESCRIPTION COMPANY APIP PROGRAM - VARIOUS CARRIER 4 C'yo — LOAN NUMBER }OLNUMBER ��•� TTTi�• TTT!►■plcO _' IP2122 EFFECTIVE DATE EXPIRATION DA'fS+FI�► ri CONTINUED UNTIL 07/01/20, 07/01/2022 ' TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION PERILS INSURED BASIC I BROAD X SPECIAL COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE ALL RISK OF DIRECT PHYSICAL LOSS OR DAMAGE. 11$275,000,000 $25,000 PER OCCURRENCE LOSS LIMIT, SUBJECT TO SUB -LIMITS AND AGGREGATES. EARTHQUAKE PER OCCURRENCE AND ANNUAL AGGREGATE - ALL COVERAGES $110,000,000 5% $100,000 MINIMUM ON DEDUCTIBLE. $100,000 MIN EQ LIMITS: $25,000,000 DEDICATED TO ALDERWOOD, $10,000,000 DEDICATED TO SAMMAMISH PLATEAU, AND $75,000,000 SHARED BY ALL MEMBERS INCLUDING ALDERWOOD AND SAMMAMISH PLATEAU. IN ANY GIVEN YEAR, IF ALDERWOOD AND SAMMAMISH PLATEAU DO NOT USE THEIR RESPECCTIVE DEDICATED LIMITS, THEY WILL BE AVAILABLE TO WSRMP'S MEMBERS IN CASE OF AN EARTHQUAKE. FLOOD PER OCCURRENCE AND ANNUAL AGGREGATE - ALL COVERAGES $50,000,000 $100,000 $100,000 DEDUCTIBLE FOR FLOOD, EXCEPT $250,000 FOR FLOOD ZONE A&V $250,000 A&V See Attached... KtMAKIK, tincivaing S ec4all:onalrlonsl AS RESPECTS ORDINANCE NO. 016-18 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS CITY OF PORT ORCHARD MAYOR 216 PROSPECT STREET PORT ORCHARD, WA 98366 ADDITIONAL INSURED MORTGAGEE LOAN # AUTHORIZED REPRESENTATIVE E2v100. A- WWa LENDER'S LOSS PAYABLE I LOSS PAYEE ACORD 27 (2016/03) © 1993-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AH- ADDITIONAL INSURED'S / LOSS PAYEES It is hereby understood and agreed that the interest of Additional Insured's and/or Loss Payees is automatically included, as per schedule held on file with Alliant Insurance Services, Inc. Priblic Entity Property Insurance Program (PEPIP) Form No.] 7 _ _ Perf • 46 0 ' 73 Alliant Property Insurance Program 2021-2022 Policy Year Schedule of Insurers (Proposed) Company A.M. Best's I.D. # A.M. Best's Guide Ratirig. Standard and Poor's Arch Specialty Insurance 012523 A+, Superior; A+ Company Financial Size Category 15; (As of 03/26/20) $2,000,000,000 to greater (As of 12/04/20) Aspen Specialty Insurance 012630 A, Excellent; Not Rated Company Financial Size Category 15; (As of 05/18/21) $2,000,000,000 or greater (As of 04/30/21) Ategrity Specialty Insurance 020603 A-, Excellent; Not Rated Company Financial Size Category 8; (As of 05/18/21) $100,000,000 to $250,000,000 (As of 10/27/20) Berkshire Hathaway 000864 A++ (Superior) Not Rated Specialty Insurance Financial Size Category 15; (As of 05/18/21) Company $2,000,000,000 or Greater (As of 12/09/20) Chubb Bermuda Insurance 086361 A++ (Superior) AA Ltd. Financial Size Category 15; (As of 06/24/16) $2,000,000,000 or Greater (As of 12/17/20) Endurance Worldwide 083234 A+, Superior; A+ Insurance Limited Financial Size Category 15; (As of 04/26/18) $2,000,000,000 or greater (As of 08/14/20) Evanston Insurance Co. 003759 A, Excellent; A Financial Size Category 15; (As of 07/27/17) $2,000,000,000 or Greater (As of 09/11/20) Everest Indemnity Insurance 012096 A+, Superior; A+ Company Financial Size Category 15; (As of 12/22/15) $2,000,000,000 or greater (As of 05/07/21) Fidelis Underwriting Limited 093764 A, Excellent; A - Financial Size Category 15; (As of 12/17/19) $2,000,000,000 or greater (As of 06/03/20) Hallmark Specialty 010838 A- u, (Excellent); Not Rated Insurance Co. Financial Size Category 8; (As of 05/18/21) $100,000,000 to $250,000,000 (As of 04/20/21) Homeland Insurance 010604 A+, Superior; Not Rated Company of New York Financial Size Category 15; (As of 05/18/21) $2,000,000,000 or greater (As of 04/22/21) International General 091476 A (Excellent) A - Insurance Co. Financial Size Category 4; (As of 03/31/15) $250,000,000 to $500,000,000 (As of 10/09/20) Page 1 of 2 As of May 18, 2021 Alliant Property Insurance Program 2021-2022 Policy Year Schedule of Insurers (Proposed) Company A.M. Best's I.D. # A.M. Best's Guide Rating Standard and Poor's Ironshore Specialty 013866 A, Excellent; A Insurance Company Financial Size Category 15; (As of 05/02/17) $2,000,000,000 or greater (As of 06/26/20) Lancashire Insurance 078390 A, Excellent; A - Company (UK) Ltd. Financial Size Category 14; (As of 02/28/18) $1,500,000,000 to $2,000,000,000 (As of 09/22/20) Landmark American 012619 A+, Superior; A+ Insurance Co. Financial Size Category 14; (As of 04/18/18) $1,500,000,000 to $2,000,000,000 (As of 10/29/20) Lexington Insurance 002350 A, Excellent; A+ Company Financial Size Category 15; (As of 10/27/20) $2,000,000,000 or Greater (As of 08/19/20) Liberty Mutual Fire 002282 A, Excellent; A Insurance Company Financial Size Category 15; (As of 07/17/14) $2,000,000,000 or Greater (As of 06/26/20) Lloyd's of London 085202 A, Excellent; A+ Financial Size Category 15; (As of 06/14/19) $2,000,000,000 or Greater (As of 07/15/20) PartnerRe Ireland Insurance 088621 A+ u, (Superior); A+ Ltd. Financial Size Category 15; (As of 08/07/20) $2,000,000,000 or Greater (As of 05/12/21) Princeton Excess & Surplus 012170 A+, Superior; AA - Lines Ins. Co. Financial Size Category 15; (as of 12/22/06) $2,000,000,000 or Greater (As of 07/17/20) RSUI Indemnity Company 012603 A+, Superior; A+ Financial Size Category 14; (As of 04/18/18) $1,500,000,000 to $2,000,000,000 (As of 10/29/20) QBE Specialty Insurance 012562 A, Excellent; A+ Company Financial Size Category 15; (As of 01/30/18) $2,000,000,000 or Greater (As of 03/11 /21) Westport Insurance 000347 A+, Superior; AA - Corporation Financial Size Category 15; (As of 05/07/20) $2,000,000,000 or Greater (As of 07/17/20) XL Insurance America Inc. 002423 A+, Superior; AA - Financial Size Category 15; (As of 11/19/18) $2,000,000,000 or Greater (As of 09/29/20) Page 2 of 2 As of May 18, 2021 �'!c - EVIDENCE OF PROPERTY INSURANCE DATE (MMIDD/YYYY) 7/27/2021 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY PHONE COMPANY .IA/CI_No. EYt1:20fi-20A-9175 APIP PROGRAM - VARIOUS CARRIER Alliant Insurance Services 1420 Fifth Avenue, Suite 1500 Seattle, WA 98101 206-204-9205 1 an�DP"Fsa. ierohertsiMalliant.com CODE: SUB CODE: AGENCY INSURED WATER & SEWER RISK MANAGEMENT POOL (WSRMP) 40 Lake Bellevue Drive, Suite 220 Bellevue, WA 98005 PROPERTY INFORMATION LOCATIONIDES C RI PTIO N $+F00 4&b' 0 CC w.nF'o, BER - LOAN NUMBER M �� EFFECTIVE DATE EXPIRATION DATE _. CONTINUED UNTIL 07/01/202� 07/01/2022 �ITERMINATEDIFCHECKED THIS REPLACES PRIOR EVIDENCE DATED: 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 EVIDENCE OF PROPERTY INSURANCE 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 COVERAGE INFORMATION PERILS INSURED I I BASIC BROAD I X I SPECIAL COVERAGE I PERILS I FORMS AMOUNT OF INSURANCE DEDUCTIBLE ALL RISK OF DIRECT PHYSICAL LOSS OR DAMAGE. $276,000,000 $25,000 PER OCCURRENCE LOSS LIMIT, SUBJECT TO SUB -LIMITS AND AGGREGATES. EARTHQUAKE PER OCCURRENCE AND ANNUAL AGGREGATE - ALL COVERAGES $110,000,000 5% $100,000 MINIMUM ON DEDUCTIBLE. $100,000 MIN EQ LIMITS: $25,000,000 DEDICATED TO ALDERWOOD, $10,000,000 DEDICATED TO SAMMAMISH PLATEAU, AND $75,000,000 SHARED BY ALL MEMBERS INCLUDING ALDERWOOD AND SAMMAMISH PLATEAU. IN ANY GIVEN YEAR, IF ALDERWOOD AND SAMMAMISH PLATEAU DO NOT USE THEIR RESPECCTiVE DEDICATED LIMITS, THEY WILL BE AVAILABLE TO WSRMP'S MEMBERS IN CASE OF AN EARTHQUAKE. FLOOD PER OCCURRENCE AND ANNUAL AGGREGATE - ALL COVERAGES $50,000,000 $100,000 $100,000 DEDUCTIBLE FOR FLOOD, EXCEPT $250,000 FOR FLOOD ZONE A&V 1$250,000 A&V See Attached... REMARKS(including Special Conditions AS RESPECTS WASTEWATER TREATMENT PLANT LOCATED AT 1165 BEACH DR, PORT ORCHARD, WA 98366 EFFECTIVE 8/1/14. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I �ITC�CCT NAME AND ADDRESS • ` ADDITIONAL INSURED LENDER'S LOSS PAYABLE LOSS PAYEE MORTGAGEE LOAN # CITY OF PORT ORCHARD 216 PROSPECT ST. AUTHORIZED REPRESENTATIVE PORT ORCHARD, WA 98366 ►low. f1• WWCO ACORD 27 (2016103) v I`JJJ-cv I A%IVRL/ %..Vr%r, I IVL. f11I I I.� I` The ACORD name and logo are registered marks of ACORD I AHr ADDITIONAL INSURED'S / LOSS PAYEES It is hereby understood and agreed that the interest of Additional Insured's and/or Loss Payees is automatically included, as per schedule held on file with Alliant Insurance Services, Inc. Public Entity Property Insurance Program (PEPIP) Form No.]7 Ptwe 46 n ' 73 Alliant Property Insurance Program 2021-2022 Policy Year Schedule of Insurers (Proposed) Company A.M. Best's LID. # — — A.M. Best's Guide Rating Standard and Poor's Arch Specialty Insurance 012523 A+, Superior; A+ Company Financial Size Category 15; (As of 03/26/20) $2,000,000,000 to greater (As of 12/04/20) Aspen Specialty Insurance 012630 A, Excellent; Not Rated Company Financial Size Category 15; (As of 05/18/21) $2,000,000,000 or greater (As of 04/30/21) Ategrity Specialty Insurance 020603 A-, Excellent; Not Rated Company Financial Size Category 8; (As of 05/18/21) $100,000,000 to $250,000,000 (As of 10/27/20) Berkshire Hathaway 000864 A++ (Superior) Not Rated Specialty Insurance Financial Size Category 15; (As of 05/18/21) Company $2,000,000,000 or Greater (As of 12/09/20) Chubb Bermuda Insurance 086361 A++ (Superior) AA Ltd. Financial Size Category 15; (As of 06/24/16) $2,000,000,000 or Greater (As of 12/17/20) Endurance Worldwide 083234 A+, Superior; A+ Insurance Limited Financial Size Category 15; (As of 04/2-6/18) $2,000,000,000 or greater (As of 08/14/20) Evanston Insurance Co. 003759 A, Excellent; A Financial Size Category 15; (As of 07/27/17) $2,000,000,000 or Greater (As of 09/11/20) Everest Indemnity Insurance 012096 A+, Superior; A+ Company Financial Size Category 15; (As of 12/22/15) $2,000,000,000 or greater (As of 05/07/21) Fidelis Underwriting Limited 093764 A, Excellent; A - Financial Size Category 15; (As of 12/17/19) $2,000,000,000 or greater (As of 06/03/20) Hallmark Specialty 010838 A- u, (Excellent); Not Rated Insurance Co. Financial Size Category 8; (As of 05/18/21) $100,000,000 to $250,000,000 (As of 04/20/21) Homeland Insurance 010604 A+, Superior; Not Rated Company of New York Financial Size Category 15; (As of 05/18/21) $2,000,000,000 or greater (As of 04/22/21) International General 091476 A (Excellent) A - Insurance Co. Financial Size Category 4; (As of 03/31 /15) $250,000,000 to $500,000,000 (As of 10/09/20) Page 1 of 2 As of May 18, 2021 Alliant Property Insurance Program 2021-2022 Policy Year Schedule of Insurers (Proposed) Company A.M. Best's I.D. # A.M. Best's Guide Rating Standard and Poor's Ironshore Specialty 013866 A, Excellent; A Insurance Company Financial Size Category 15; (As of 05/02/17) $2,000,000,000 or greater (As of 06/26/20) Lancashire Insurance 078390 A, Excellent; A - Company (UK) Ltd. Financial Size Category 14; (As of 02/28/18) $1,500,000,000 to $2,000,000,000 (As of 09/22/20) Landmark American 012619 A+, Superior; A+ Insurance Co. Financial Size Category 14; (As of 04/18/18) $1,500,000,000 to $2,000,000,000 (As of 10/29/20) Lexington Insurance 002350 A, Excellent; A+ Company Financial Size Category 15; (As of 10/27/20) $2,000,000,000 or Greater (As of 08/19/20) Liberty Mutual Fire 002282 A, Excellent; A Insurance Company Financial Size Category 15; (As of 07/17/14) $2,000,000,000 or Greater (As of 06/26/20) Lloyd's of London 085202 A, Excellent; A+ Financial Size Category 15; (As of 06/14/19) $2,000,000,000 or Greater (As of 07/15/20) PartnerRe Ireland Insurance 088621 A+ u, (Superior); A+ Ltd, Financial Size Category 15; (As of 08/07/20) $2,000,000,000 or Greater (As of 05/12/21) Princeton Excess & Surplus 012170 A+, Superior; AA - Lines Ins. Co. Financial Size Category 15; (as of 12/22/06) $2,000,000,000 or Greater (As of 07/17/20) RSUI Indemnity Company 012603 A+, Superior; A+ Financial Size Category 14; (As of 04/18/18) $1,500,000,000 to $2,000,000,000 (As of 10/29/20) QBE Specialty Insurance 012562 A, Excellent; A+ Company Financial Size Category 15; (As of 01/30/18) $2,000,000,000 or Greater (As of 03/11 /21) Westport Insurance 000347 A+, Superior; AA - Corporation Financial Size Category 15; (As of 05/07/20) $2,000,000,000 or Greater (As of 07/17/20) XL Insurance America Inc. 002423 A+, Superior; AA - Financial Size Category 15; (As of 11/19/18) $2,000,000,000 or Greater (As of 09/29/20) Page 2 of 2 As of May 18, 2021