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, L <br /> AER d CERTIFICATE OF LIABILITY INSURANCE DATE <br /> (I D" ) <br /> � <br /> 01,15/2Q2q <br /> ITHIS CERTIFICATE iS ISSUED AS A MATTER OF NFORMAATlON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> 'ELM THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING NSURER(S),AUTHORIZED <br /> •4EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certficate holder Is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the turns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PROOUCER CONTACT <br /> NAME; <br /> Sexton Agency LLC ,PA1CH°No.Ear: FAX Nei;5920 Evergreen Way Ste H EA•DDDRRESS; <br /> INSURER(S)AFFORDING COVERAGE NMC 8 <br /> Everett WA 98203 INSURER A: GuldeOne National Insurance Company 14167 <br /> INSURED INSURER e: <br /> Kenneth Brian Hunt INSURER C: <br /> 5129 Evergreen Way INSURER D: <br /> 139 INSURER E E. <br /> Everett WA 98203 ,INSURER F; <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS 1S TO CERTIFY THAT THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO rill INSJREO NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REOUIREMENT,TERM OR CON31TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERIIFICATF MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO Al I.THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> Tina( AOLAHUM POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE LSD VA.D POLICY NUMBER 1118/DD VYYY) (MWDD YYYY) LMITS <br /> .X COMMERCIAL GENERAL.LIABILITY EACHOcounmENCE , t 1,000,000 <br /> CLAINSAMOE n REI OCCUR P i l RENTED <br /> r�MS PREMISESlEa otcurrerroel 5 50.000 <br /> �. ,MED EXP[Any one pc'1 i I S 5,000 , <br /> A — Y Y ENV562000363-01 08:09t2019 08;09/2020 PERsewuAAMInJRY f 1,000,000 <br /> GENLAOGREGATE MIT APPLIES PER: GENERAL AGO REGA'E $ 2,000.000 <br /> R POLICY ElT ❑LCC PR©DUCT5•CCIW PAGu $ 2,000.000 , <br /> I OTHER S <br /> AiITOMOOLEUABIUTY CEa SINGL <br /> E LIMIT f <br /> NTYAUTO EDILY INJURY(Per persr.( $ <br /> ALL C'MIE D SCHEDULED BODILY INJURY(Per academ) f <br /> AUTOS AIrros <br /> HREDAUTOS NON•OWNED PROPERTY DAMAGE f <br /> AUTOS 'Phr aaeiderti _ <br /> f <br /> U* RELLALIAR — OCCUR EACH OCCURRENCE , S <br /> EXCESS HAS CLAIMS+uAOE AGGREGATE S <br /> DED I RETENTIONS $ <br /> WORKERS COMPENSATION I PER v OTH• <br /> AND DIPLOYPJUI'LIANLITY YIN STATTTTF ^ Fire. WA Stop Gap <br /> 000 <br /> A ornc wEANY MB cumeco U71vE N r A ENV562000353-01 08:09(2019 08)0912020 <br /> E 4 EACH ACCIDENT S 1, . <br /> (MBnratsry m NH) E.I..CISEASF•FA EMPLOYEE $ 1,000,000 <br /> I'yse.descxoe niter <br /> DESCRIPTION OF OPERA'S OreB Wow E.L dFIFASS-•• ICY'LIMIT i 1,000,000 <br /> A Contractors Pollution Liabilty Y ENV582000363-01 0&'0£�"2019 0&'09"2020 S1.000,000152.000.000 <br /> Professional Liablity $1.000,000152.000.000 <br /> DESORPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(ACORD 1d1,AdtEdenal Remarks Schedule.rosy be attached if mon space is required) <br /> Certificate holder is named additional insured per form CG2012(07098)&CG2010 07.04(CGL)&GO2212-0YA 10/17(CPL)&G03204-4YA 10117(Pt). <br /> Completed Ops applies per form CG2037 07104(CGL).Primary&Non-Contributory applies per forms G002164YP 10/17(COL)&G00216-4YP 10117(CPL). <br /> Waiver of Subrogation applies pa'forms 000218- VA 10t1 r(CGL)&G00218-4YA 10/1 r(CPL). <br /> ""10 Day Nokia for Non-Payment of Premium`•" <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Everett <br /> ACCORDANCE WITH THE POUCY PROVISIONS• <br /> Mn:Chris Lark AUTHORIZED REPRESENTA11WE <br /> 2930 Wetmore Ave Suite 9E j <br /> Eli Everett WA 98201 <br /> 1 a <br /> IA 1488-2014ACORD CORPORATION. Al rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />