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OP ID:MN <br /> 4 I CERTIFICATE OF LIABILITY INSURANCE j DATE a �g' <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 pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsement(s,. <br /> PRODUCER CON-74C' <br /> AMIS/Alliance Mktg.&Ins Sery _ Michelle Nowell FL. <br /> CA Surplus Line Luc#OK21904 ,,,� rl ,.760-471-7116 Ic No;;760-471-9378 <br /> 355 Via Vera Cruz#7 Nkrl <br /> San Marcos,CA 92078 PCODOCEr mnowell -amlacorp.COm <br /> PRODUCE ADJNW-1 <br /> Michelle A. lowell cu�Tc•MER l0_• <br /> INSURER S AFFORDING COVERAGE SPX <br /> INSURED Adjusters Northwest INSURER A:Conifer Insurance Company <br /> 2015 33rd Street <br /> Everett,WA 98201 INSURER B <br /> INSURER C: <br /> INSURER E: <br /> INS_RER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 /> PI R Aor,,SUf,e r e:-- i„ rrn r, • <br /> LTR <br /> TYPE OF INSURANCE i POLICY NUMBER iMM/DDIYYYY, MM r D r LIMITS <br /> ... . ... .......... ... you ..._.. <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ 1,000,00 <br /> A X COMMERCIAL GENERAL LIABILITY X CICP021321 06115/2019 06/15/2020PREMISES En occur $ 100,00Ct <br /> CLAIMS-MADE U OCCUR MED EXP(An one person) $ 5,000( <br /> X Errors&Omission PERSONAL&ADV INJURY 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE UNIT APPLIES PER PRODUCTS-COMP/OP AGG $ 1,000,00u <br /> X POLICY PM- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE UNIT <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) S <br /> ALL OWNED AUTOS BODILY INJURY(Per accident) $ <br /> SCHEDULED AUTOS <br /> HIRED AUTOS PROPERTY DAMAGE <br /> (PER ACCIDENT) <br /> NON-OWNED AUTOS $ <br /> $ <br /> UMBRELLA LIAO OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S <br /> DEDUCTIBLE $ <br /> RETENTION $ <br /> WORKERS COMPENSATION WCSTATIJ- n-H- <br /> AND EMPLOYERS'LIABILITY YIN TOrr tiE1;3t, <br /> ANY PROPRIETORIPARTNERIxECUTIVE N!A EL EACH ACCIDENT $ <br /> OFFICERRMEMBER EXCLUDED? <br /> (Mandatory In NH) El DISEASE-EA EMPLOYE $ <br /> if yet describe under <br /> DESCRIPTION OF OPERATIONS beIOW $ <br /> ThSC IPTION OPERATIONS!LOCA NS I VEHI LES(A ah ACORD 101,Addltlonel RemarksSchedule If more specs Is required) <br /> Te City ojEverett Is named as Additional Insured as respects to work <br /> performs by the ams nsured. <br /> Adjuster,WA— <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 /> The City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Ave <br /> Everett,WA 98201 AUTHORIZED REPRESENTATIVE <br /> Illmktrasi, loww. <br /> ®1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD <br />