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Fire - COI - The Ferguson Group KITTITAS COUNTY WASHINGTON 2021 (003)
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2021-06-15 10:00 AM - Commissioners' Agenda
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Fire - COI - The Ferguson Group KITTITAS COUNTY WASHINGTON 2021 (003)
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Last modified
6/11/2021 11:20:02 AM
Creation date
6/11/2021 11:20:00 AM
Metadata
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Template:
Meeting
Date
6/15/2021
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
d
Item
Request to Approve a Professional Services Agreement with The Ferguson Group
Order
4
Placement
Consent Agenda
Row ID
77580
Type
Agreement
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<br /> ACORD 25 (2001/08) The registration notices indicate ownership of the marks by their respective owners ©ACORD CORPORATION 1988, 2007 132849 03-13-2007 All rights reserved <br /> CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />06/08/2021 <br />PRODUCER State Farm Insurance, Mark Spitale - Agent <br />11801 Stringtown Rd Suite B <br />Monrovia, MD 21770 <br />THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />THE FERGUSON GROUP LLC <br />1901 PENN AVE NW STE 700 <br />WASHINGTON DC 20006-3424 <br />INSURER A: State Farm Fire and Casualty Company 25143 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br /> COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR LTR ADD’L INSRD TYPE OF INSURANCE POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DD/YY) <br />POLICY EXPIRATION <br />DATE (MM/DD/YY) LIMITS <br />X x GENERAL LIABILITY 99-BU-8962-7 <br /> <br /> <br /> <br />4/8/21 4/8/22 EACH OCCURRENCE $ 2,000,000 <br /> <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 <br /> CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5,000 <br />X X Hired Auto PERSONAL & ADV INJURY $ 0 <br />X X Nonowned Auto GENERAL AGGREGATE $ 4,000,000 <br /> GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 <br /> POLICY PRO-JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />(Ea accident) $ ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br />(Per person) $ SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br />(Per accident) $ NON-OWNED AUTOS <br /> PROPERTY DAMAGE <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY – EA ACCIDENT $ <br /> ANY AUTO OTHER THAN <br />AUTO ONLY: <br />EA ACC $ <br /> AGG $ <br />X X EXCESS/UMBRELLA LIABILITY 99-BU-8978-1 4/8/21 4/8/22 EACH OCCURRENCE $ 5,000,000 <br /> X OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 <br /> $ <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10000. $ <br />X WORKERS COMPENSATION AND EMPLOYERS’ LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? <br />If yes, describe under SPECIAL PROVISIONS below <br />99-BC-G321-5 F 4/8/21 4/8/22 WC STATU- TORY LIMITS X OTH- ER <br /> <br /> E.L. EACH ACCIDENT $ 1,000,000 <br /> E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />X OTHER CONTRACTUAL LIABILITY <br />CMP 4100/CMP-4604 99-BU-8962-7 4/8/21 4/8/22 $1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Legislative Lobbyist <br /> <br /> CERTIFICATE HOLDER CANCELLATION <br />Certificate Holder & Additional Insured: <br />KITTITAS COUNTY, WASHINGTON <br />205 West 5th Avenue <br />Room 108 <br />Ellensburg WA 98926 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE Mark Spitale, agent 301-882-4101
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