Andy Boos 12/5/2019 - Laserfiche WebLink

AC RD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YWI) I • 11/28/2018 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 CONTNAME: Susan Susan Davidson FAX Calrose insurance ,&c. o,Ext!: (425)525-5188 (A/C,No): 2231 Broadwa E-MAIL y .AQDRE_SS: sue@epicinsure,net Everett,WA 98201 INSURER(S)AFFORDING COVERAGE NAIC E INSURER A: Scottsdale Insurance Company INSURED Andy BooS INSURER B DBA:Andy Boos Outdoor Leader INSURER C: 2310 Rainier Ave INSURER D: Everett,WA 98201 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 1 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. !NSR ADD,SUER EXP LTR TYPE OF INSURANCE ,INS) WV)I POLICY NUMBER i(MM/DOY/YYYYI IMMIDOEFF PY )i LIMITS A X COMMERCIAL GENERAL LIABIUTY t y CPS2928603 12/05/2018 12/0512019 EACH OCCURRENCE J S 1,000,000 CLAIMS-MADE I X I OCCUR PREMISES( e_OS. $ 100,000 MED EXP(Any one person) S 5,000 • PERSONAL 8 ADV INJURY s 1,000,000 GEN',AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY I JECT LOC —I PRODUCTS-COMP/OP AGG 5 2,000,000 I I OTHER: I I $ I`AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ - ANYAU70 I 1 �Ea accident) OWNED —7 SCHEDULED BODILY INJURY(Per person) S AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED ! NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY 1 AUTOS ONLY (Per accident) $ UMBRELLA LIAB _I OCCUR 1 EACH OCCURRENCE J$ EXCESS LIAB I CLAIMS-MADE AGGREGATE $ I DEC RETENTION 5 $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/N I PER EB____ ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED" I N/A (Mandatory In NH) I E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1 I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may bo attached If more space la required) Certificate holder is listed as an additional insured but only as respects to operations of named insured CERTIFICATE HOLDER CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE United States of America,National Park Service THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Mount Rainer National Park ACCORDANCE WITH THE POLICY PROVISIONS. Attn;CUA 55210 238th Ave E AUTHORIZED REPRESENTATIVE Ashford,WA 98304 _amu-ems L '". "4'v (SGD) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by SGD on November 28,2018 at 10:24AM