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DATE (MWDDNYYY)
� o t CERTIFICATE OF LIABILITY INSURANCE 01/27/2023
THIS CERTIFICATE IS ISSUED AS A IMA
VE YEOR NEGATIVELY AMEND,, EXTEND OR ALTER RS NO RIGHTS
COVERAGE AFFORDED ABY THE TE DPOLICIES I
CERTIFICATE DOES NOT AFFIRMATIVE
BELOW. THIS CERTIFICATE OF INSURANC
THE E DOES NOT CERTIFICATE HOLDER. CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE
REPRESENTATIVE OR PRODUCER, AND P Y rovlsions or be endorsed.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the ollc icy, must have ADDITIONAL INSURED p
if SUBROGATION 15 WAIVED, subject to the Certifi�Cate holder in lieu eu of such endorsemelnt policies may require an endorsement. A statement on
4,14. rortiflcate does not confer rightsCONTACT Willis Towers Watson "rtificats Canter
PRODUCER Inc.
Willis Towers Watson Northeast,
c/o 26 Century Blvd
P.O. Sox 305191
Nashville, TN 372305191 USA
INSURED
National Railroad Passenger Corporation (Amtrak)
Attn: Carmen Pelham
one Massachusetts Ave NW
Washington, DC 20001
A 1-898-467-2378
1-877-945-7378 AI o:
certificates@willis.com
INSURER S AFFORDING COVERAGE _ 241 M
24i47
4c Old Republic Insurance ComPenY
AVERAGES CERTIFICATE NUMBER:In ''rHE INSURED
W27983796 Nv REVISION NUMBER.
THIS IS TO CERTIFY THAT HE OLIYI REQUIREM[�NTN TERLI L HAVE BEEN ISSUE'' ED AS
STEDM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W� H RESPECT OLWHlCH THIS
INDICATED. ► OTWITHSTANDRDED BY THE
CI
CERTIFICATE MAY BE ISSUED
OR MAY PERTAIN, THE INSUR OF SUCH POLICIES. LIMITS SHOANIC WN MAY OVE BEEN REDUCEDIBY PAID CLAIMS. ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM
EXCLUSIONS AND CONDITIONS _ _, . - fI- aoucv EFF LIMITS
POLi v Exp
:p01�`L�§UBfii pOL1CYNUMBER I MMIDDIYYYY MM YY
R TYPEOFINSURANCE EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE �w i OCCUR 1 I LMED EXP (Any one Personl� �._
F
GEN'L AGGREGATE LIMIT APPLIES PER:
-I PROi
D LOC
POLICY , 1 JECT
3 i
OTHER:
AUTOMOBILE LIABILITY
x I ANY AUTO
i
A OWNED SCHEDULED Y
AUTOS ONLY
AUTOS
NON -OWNED
HIRED
AUTOS ONLY
AUTOS ONLY r
UMBRELLA I" 1 1 OCCUR
EXCESS LIAB CLAIMS -MADE
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE ❑ i N I A
OMeIICda Min EBEREXCLUDED?
II ves. describe Under-__._,--, ._w...
r^oMPIOP AGO
$
COMBI, ED SINGLE LIMIT
1 $ 2, 000, OOG
�a ac9dan --a
BODILY INJURY (Per person)
$
IO2/ol/2023 02/01/2024' BODILY iNJURYfPeraccident)
E$
WATS 314590 23
PROPER DAMAGE
I $
1
EACH OOCURRENCE
$
AGGREGATE,. �_..._ ....._
$----
E.L. EACH ACCIDENT`
E.L. DISEASE - EA EMPLOYEE
redI
LOCATIONScheduts, may be
�ITSINTEREST
dIt more Space I$INUITHE STATION LEASE AT PASCO, 1WA.
DESCRIPTION OF OPERATIONS ILOINSURED AS
THE CITY OF PASCO IS INCLUDED AS AN ADDITIONAL
;ERTIFIGATr „���+��
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE ACCORDANCETE
IWITHTH POLICY PROVISIONS.NOTICEATE THEREOF, WILL BE DELIVERED IN
CITY OF PASCO
ADMINISTRATSVE AND COMMUNITY SMVICES
AUTHORIZED REPRESENTATIVE
Attn: STAN STREBEL ��
525 NORTH 31D AVENUE; F.O. Box 293
PASCO, WA 99301 C) 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103} The ACORD name and logo are registered marks of ACORD
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