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Pallet SPC 5/10/2021
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Pallet SPC 5/10/2021
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Entry Properties
Last modified
5/14/2021 1:50:32 PM
Creation date
5/14/2021 1:50:19 PM
Metadata
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Template:
Contracts
Contractor's Name
Pallet SPC
Approval Date
5/10/2021
Department
Purchasing
Department Project Manager
Theresa Bauccio-Teschlog
Subject / Project Title
Pallet Homes
Tracking Number
0002913
Total Compensation
$132,540.00
Contract Type
Agreement
Contract Subtype
Purchase
Retention Period
6 Years Then Destroy
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Ac CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 05/05/2021 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Marci Bitner <br /> NAME: <br /> The Partners Group Ltd (AHcNE Ext): (877)455-5640 FAX <br /> No): (425)455-6727 <br /> 11225 SE 6th St. E-MAIL mbitner@tpgrp.com <br /> ADDRESS: <br /> Suite 110 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Bellevue WA 98004 INSURER A: Colony Insurance Company 39993 <br /> INSURED INSURER B: <br /> Pallet,SPC INSURER C: <br /> PO Box 77570 INSURER D: <br /> INSURER E: <br /> Seattle WA 98177 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 20/21 GLAU SG REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDLSUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED 100,000 <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ <br /> X $2,500 Deductible MED EXP(Any one person) $ 5,000 <br /> A Y 103GL003082501 08/16/2020 08/16/2021 PERSONAL&ADV INJURY $ 1'000'000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 <br /> X POLICY 1 PRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> JECT <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED 103GL003082501 08/16/2020 08/16/2021 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> X AUTOS ONLY X AUTOS ONLY (Per accident) <br /> $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 <br /> A EXCESSLIAB CLAIMS-MADE XS175030 11/04/2020 08/16/2021 AGGREGATE $ 1,000,000 <br /> DED X RETENTION $ 0 $ <br /> WORKERS COMPENSATION PER 0TH- WA STOP GAP <br /> AND EMPLOYERS'LIABILITY STATUTE X ER <br /> v/N 1,000,000 <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 103GL003082501 08/16/2020 08/16/2021 E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate holder is included as Additional Insured on General Liability as their interest may appear as respects operations performed by or on behalf of the <br /> Named Insured,as required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 3200 Cedar Street#5 <br /> AUTHORIZED REPRESENTATIVE <br /> Everett WA 98201 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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