Parkview Services 11/25/2019 - Laserfiche WebLink

• ACc o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/05/2019 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 CONTACT Kim Andrews-McClellan NAME: The Partners Group Ltd PHONE (877)455-5640 FAx (425)455-6727 (A/C,No,Eel): (A/C,No): 11225 SE 6th St. E-MAIL kandrews@tpgrp.com ADDRESS: Suite 110 INSURERS)AFFORDING COVERAGE NAIC it Bellevue WA 98004INSURERA: Philadelphia Indemnity Ins Co 18058 INSURED INSURER B Parkview Services INSURER C: 17544 Midvale Ave N Ste LL INSURER D: INSURER E: Shoreline WA 98133 INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 GL,AU,XS,WC 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,DAMAGE TO RENTED 000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y PHPK2018461 08/01/2019 08/01/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN' AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 L POLICY JECT PRO X LOC PRODUCTS-COMP/OPAGG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) _ X ANY AUTO BODILY INJURY(Per person) $ - A ONED SCHEDULED PHPK2018461 08/01/2019 08/01/2020 BODILY INJURY(Per accident) W $ AUTOS ONLY AUTOS _ HIRED —" NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Towing $ 100 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE Y PHUB687904 08/01/2019 08/01/2020 AGGREGATE $ 2,000,000 10,000 DED X RETENTION $ $ WORKERS COMPENSATION PER 0TH- WA STOP GAP AND EMPLOYERS'LIABILITY Y/N STATUTE X ER A ANY PROPRIETOR/PARTNER/EXECUTIVE N/A PHPK2018461 08/01/2019 08/01/2020 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:2220 Pine St,Everett,WA 98201 Certificate holder is included as Additional Insured on General Liability and Excess Policy as their interest may appear as respects operations performed by or on behalf of the Named Insured,as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Everett WA ACCORDANCE WITH THE POLICY PROVISIONS. 2930 Wetmore Avenue AUTHORIZED REPRESENTATIVE Everett WA 98201 = ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD