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-l�_.ab DATE(MM/DD/YYYY) <br /> aC= RI- CERTIFICATE OF LIABILITY INSURANCE <br /> 08/28/2019 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br /> AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br /> subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not <br /> confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> ALLIANT INSURANCE SERVICES INC/PHS NAME: <br /> 52802465 PHONE (866)467-8730 FAX <br /> (A/C,No):(888)443-6112 <br /> (A/C,No,Ext): <br /> The Hartford Business Service Center <br /> 3600 Wiseman Blvd E-MAIL <br /> San Antonio,TX 78265 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIL# <br /> INSURED INSURERA: Hartford Casualty Insurance Company 29424 <br /> NORTHWEST FAIR HOUSING ALLIANCE INSURER B: <br /> 35 W MAIN AVE STE 250 <br /> INSURER C: <br /> SPOKANE WA 99201-0116 <br /> INSURER D: <br /> INSURER E: <br /> INSURER 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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD (MM/DD/YYYY) (MWDD/YYYY) <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED $300,000 <br /> PREMISES(Ea occurrence) <br /> X General Liability MED EXP(Any one person) $10,000 <br /> A X 52 SBA 119491 12/04/2018 12/04/2019 PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY JER0. X LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) <br /> ALL OWNED SCHEDULED <br /> A 52 SBA 119491 12/04/2018 12/04/2019 BODILY INJURY(Per accident) <br /> AUTOS AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> X AUTOS X AUTOS (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS- AGGREGATE <br /> MADE <br /> DED RETENTION$ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANY Y/N E.L.EACH ACCIDENT $1,000,000 <br /> A PROPRIETOR/PARTNER/EXECUTIVE — N/A 52 SBA 119491 12/04/2018 12/04/2019 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> (Mandatory In NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS below <br /> A EMPLOYMENT PRACTICES 52 SBA 119491 12/04/2018 12/04/2019 Each Claim Limit $5,000 <br /> LIABILITY Aggregate Limit $5,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Those usual to the Insured's Operations.Please see Additional Remarks Schedule Acord Form 101 attached. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> 2930 WETMORE AVE BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> EVERETT WA 98201-4067 IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />