SH24-004 PSA - Laserfiche WebLink

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 1 12/14/2023 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 poticy(ies) must be endorsed If SUBROGATIONIS WAIVED, subject to the berms 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 NUTMEG INS AGENCY INC/PHS 76210781 The Hartford Business Service Center NAME PHONE (888)925-3137 (A�. No, Ex* FA)I (Arc. No): 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS: INSURER(8) AFFORDING COVERAGE NA= INSURED LEPS-PSS PLLC DBA Public Safety Psychological Hartford Insurance Company of the ur�RER A : Southeast 38261 20818 44TH AVE W STE 150 INSURER B , LYNNWOOD WA 98036-7734 INSURER C INSURER D INSURER E : INSURER F : IAJWrJCAa l wiKFK Y I F ME lwft i . o wnavf1Y THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTAAIDING 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 CONDMONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDL SUBRI POLICYNUMBER POUCYEFF LIMITS EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY CLAIMSA"EOCCUR owwamfoiyED MED EXP (My ene persen) PERSONAL & ADV INJURY GENL AGGREGATE LIMIT APPLIES PER: PR POLICY ❑ JECT Doc OTHER: GENERAL AGGREGATE PRODUCTS - COMP/OP AGG AUTOMOBILELIABILITY ANY AUTO ALLOWNED AUTOS AUTOSU� MRED NON-OWIMD AUTOS AUTOS COMBINED SINGLE UMI eNd n BODILY INJURY (Perpersen) BODILY INJURY (Per acciderd) PR TY DAMAGE (Per moddeft!) UMBRELL►UAB EXCESS LIAR OCCUR CLAIMS - MADE EACH OCCURRENCE AGGREGATE RETENTION $ A WORIMMCOMPERSATM AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXOF FICERRIMEMBER ED? (rrer In NN) If Yes, desWe under below NIA 76 WEG AK018B 01112/2024 01/12/2025 X PER T 8TUTE I OTH- ER EL EACH ACCIDENT $100.000 E.L. DISEASE -EA EMPLOYEE $100,000 EL DISEASE - POLICY LIMIT $500,000 DE AIGFDPIFRMMW/LOCAfl0MI VBGCLM (ACORD IQI. AddaWnal RomaAa Schaduta, may bo aRachW It mmv spaeo is roqulfom Those usual to the insureds Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this Percy. Coverage is Prime' and noncontributory Per the Business Liability Coverage Form SS0008, attached to this policy. Notice of Cancellation will provided in accordance with Form SS1223, attached to this policy. lutfitas County SHOULD ANY OPT ;;E' ABOVE DESCRIBED POLICIES BE CANCELLED 205 West 5th Avenue Suite 10B BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Ellensburg WA M26 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD