Fernec Doner dba Argonaut Diving 12/3/2019

PROFESSIONAL LIABILITY INSURANCE z DA N ', UNDERWRITER: DAN RISK RETENTION GROUP,INC: offered through RISK RETENTION GROUPDAN SERVICES,INC. NAIC NO. 15928 - SC COMPANY CODE:207640 6 W.Colony Place,Suite 200,Durham,NC 27705 DECLARATIONS PAGE Named Insured Argonaut Diving Policy Number: GPL105-11841 DBA Argonaut Diving Policyholder ID: 2839694 Address 919 Olympic Ave See Policy for a full description of terms, City,State,Zip Edmonds,WA 98020 conditions,limitations&exclusions. DESCRIPTION OF OPERATIONS: Professional Liability for the instruction or supervision of sanctioned recreational swimming,snorkeling,skin diving,free diving,RSSA diving or scuba diving,and training and supervision of students during the instruction of standard first aid. This policy consists of the following coverage parts for which a premium is indicated. The premium may be subject to adjustment. Professional Liability $1,667.00 POLICY PERIOD Rebreather Endorsement Not Included Effective Date: Expiration Date: Excess Liability Endorsement Not Included 1-Jul-2019 1 Jul 2020 Technical Coverage Not Included Unlimited Defense Not Included 12:01 AM Eastern Standard Time Taxes and Administrative Fee $108.00 TOTAL PREMIUM $1,775.00 Minimum/Retained-100% In exchange for the payment of the premium and subject to all terms of this policy, we agree to provide the insurance as stated in this policy. FORM OF BUSINESS: Proprietorship LIMITS OF LIABILITY SCHEDULE OF DEDUCTIBLES Aggregate(Sum of all DAMAGES and DEFENSE EXPENSES) $2,000,000 Deductible $0 Per POLICY PERIOD Per EVENT(DAMAGES only) $1,000,000 Per EVENT INSURED TEACHING STAFF:Per the schedule below but only to the extent each such person is providing PROFESSIONAL SERVICES on behalf of the NAMED INSURED specified above as an employee or contractor of such NAMED INSURED. ADDITIONAL INSURED:Per the schedule below and only for legal liability arising vicariously from any EVENT which results from an act,error or omission of the INSURED. FORMS AND ENDORSEMENTS: DAN Services,Inc. SEND CLAIM NOTIFICATIONS TO: Fax: (919)490-2935 E-Mail:LiabilityClaims@DAN.org Notice: This policy is issued by your Risk Retention Group.Your Risk Retention Group may not be subject to all of the insurance laws and regulations of your state.State insurance insolvency guaranty funds are not available for your Risk Retention Group. Date: 6-Sep-2019 Per: William M.Ziefia)dAiervices,Inc. 4711 Date: 6-Sep-2019 Agent/Broker RocJelle L.Wright,6 W.Colony Place,Durham,NC 27705 Florida License#W151191 The insured is requested to read this declarations page,and if incorrect, return it immediately for alteration. THIS POLICY CONTAINS A CLAUSE(S)WHICH MAY LIMIT THE AMOUNT PAYABLE.