American Forest Management 9/19/2019

___-�"'1 AMERFOR-01 XDGJSHEALY AC012L7CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `------- 9/11/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Joanie Shealy AssuredPartners of SC,LLC-Columbia PHONE FAX PO Box 21627 (A/c,No,Ext):(803)732-8383 3583 (A/C,No): Columbia,SC 29221-1627 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:HDI Global Insurance Company 41343 INSURED INSURER B:Hartford Insurance Co of the Midwest 37478 American Forest Management Inc _INSURER C:Markel American Insurance Company 28932 8702 Red Oak Blvd Suite C INSURER D:Lloyds of London A1122J Charlotte,NC 28217 - INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP I LIMITS LTR INSD WVD IMM/DD/YYYYI IMM/DD/YYYYII A X COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR GG19F000050-05 7/1/2019 7/1/2020 1 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- X LOC 2,000,000 JECT PRODUCTS-COMP/OP AGG $ OTHER: PROF FORESTERS $ 1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000 000 (Ea accident) $ X ANY AUTO 22UENBH6150 10/29/2018 10/29/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X A U OS ONLY X AUTOSS ONLY 1 i (Peer accidentDAMAGE $ $ C UMBRELLA LIAB X OCCUR I EACH OCCURRENCE _ $ 10,000,000 X EXCESS LIAB CLAIMS-MADE '!MKLM7EUL100172 8/15/2019 7/1/2020 AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Prof—Real Estate E&O 1 MPL1459578.19 7/1/2019 7/1/2020 1Ea Claim&Agg 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 802 E Mukilteo Blvd Everett,WA 98203 AUTHORIZED REPRESENTATIVE 51 a.... r) • G .A.,,, .4. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD