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HomeMy WebLinkAboutCOM 0667.047 1998-2000 HOSPICE of HILO ~~e ~=F~~~;_ = - `I ~ CL EBR A I' I V r. LI FL UAV I51 UA1 99 JUL 26 dP110~ 55 Buauo oe DtBraoac July 23, 1999 '_7 orElcexs ~ - ~ - P.ondrV i,~n Ihgumin EV ~ Helen Matsui - D.,,~ E NN~mr, I~h D County of Hawaii Department of Finance ~,r,„u.~. (D t~~~ r B„^~, 25 Aupuni Street c^ Hilo, HI 96720 NENBE0.5 I'aihume U Cunpw Mi E ~„ve B~ Dear Helen: „~^r, N Eukc Ir^~°° Enclosed for your records is a copy of the certificate of insurance for the coming I"'°` K'~'~`h' year as required for the Human Services Nonprofit Grant program. I trust that this r~a~ T ~~~~I. is sufficient for your purposes. If there are any questions, or if you require further documentation, please contact me at 969-1733. Thank you for your consideration. E u~nr,.r~,-,. E. ~ ,n.n is aD <<,u,,,,~„, Best Regards, r.lflW] Iln R~ li~~ vrJru(Onr~m. Vhra Wee ND ~BrISDB"D`"" Ron Hart un~ln I Wnp <rr~~~ ~ DcNrll~~ Director of Development and Public Relations T„^~ ,I,^.r, I,^ E „„~,r~ cc: liana Cox-Ishiza K County of Hawaii Dunr K Km((rr. BSN Office of Legislative Audit Pcirr K KuMU Esy hmti T I~mheth ND N,rrtn IIR Lee PE BnhEr Jon IrMrul Todh Ep Anhui NnrtiA NU I~nlhla ~nffll~illl LaemioN S. Ln~ka >mphrn K ISmnhvo EW Irmnm i 1'nsluuk~ Esq ~V Comm. No, 6 G 7.0~ 7 ,.,~.d~E ~JM File No. lull WAIANUENUE AVENUE, HILO, HI Yn72U ~J~ TELEPHONE: (808) 969-1733 FACSIMILE fk08)'7n9-4rin3 ~,pf. Ti,; Finail= hn.Pice©hi aloha net www.r+-eb-factor cum /ho.pice/ nnR p 9 R~r. ~ , CEI'~ ~ IFICATE OF INSURANCE DATE: o7/zv49 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION COMPANIES AFFORDING COVERAGE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE COMPANY A: Legion Insurance Company HOLDER. Tf115 CERTIFICATE DOES NOT AMEND, EXTEND OR COMPANY B: ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER INSURED NHO Insurance Agency, Inc. Hospice of Hilo P.O. Box 988 1011 Waianuenue Avenue St. Helena, CA 94574 Hilo, HI 96720 Coverages THIS IS TO CERTIFY THAT "PRE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TfIE POI..ICY PERIOD INDICATED, NOTWITHSTANDING 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 HEREPN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO EFFECTIVE EXPIRATION LTR TYPE OF INSURANCE POLICY M DATE DATE LIMITS A GENERAL LIABILITY PLS-000428 08/01/99 08/01/00 BI@PD COMBDJED X COMP. FORM-Claims Made SINGLE LAtITS OCC f 1,000,000. PREMISES/OPERATIONS BI @ PD COMBBJED CONTRACTUAL-LIMffED SD+G :E LLb!:TS AGG S3,C-00,000. B. F PROPERTY DAMAGE PERSONAL Ml AGG f1,000,000. A AUTO LIABILITY PLS-000428 of/01/99 of/0I/00 BI@PD COMBINED SNGLE LnNIT OCC 51,000,000. X HIRED AUTOS X NON-0WNED AUTOS EXCESS LIABILITY UMBRELLA FORM EA. OCCURRENCE S OTHER THAN AGGREGATE S A OTHER X MEDICAL PROF PLS-000428 08/01/99 OS/01/00 BI @ PD COMBINED LIABILITY-CLAIMS MADE SDGLE LIMIT OCC 51.000.000. BI @ PD COMHDJED SNGLE LDAT AGG 53,000,000. DESCRIPTION OF OPERATIONS HOSPICE/ HOME HEALTH CERTIFICATE HOLDER County of Hawaii Finance Department 25 Aupuni St. Hilo, H! 46720 , CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUPNG COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KMD UPON THE COMPANY, ITS AGENT, OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE/ , / ~i~