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7 ® DATE(MMIDD/YYYY) <br /> A�o CERTIFICATE OF LIABILITY INSURANCE <br /> 03/26/2020 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: Rhonda Paradis <br /> Sandstone Insurance Partners ac°.No.E,d),727-343-1275 uvc,No):727-343-2346 <br /> 6160 Central Ave Ste 200 E-MAIL DRESS: <br /> Saint Petersburg, FL 33707 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:United States Liability Insurance Company <br /> INSURED INSURER B:Progressive 24252 <br /> Enterprise Data Solutions Inc INSURERC:R-T Speciality, LLC 1668 <br /> 826 21st Ave N INSURER D: <br /> St Petersburg, FL 33704 INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> IN <br /> SR R TYPE OF INSURANCE INSD MD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS <br /> AR <br /> X COMMERCIAL GENERAL LIABILITY Y MD <br /> 03/13/2020 03/13/2021 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000 <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY jEo- L_J LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: <br /> B AUTOMOBILE LIABILITY 928664433 COMBINED SINGLE LIMIT $ <br /> 04/02/2020 10/02/2020 (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ 250,000 <br /> OWNED AUTOS ONLY X AUTOS ULED BODILY INJURY(Per accident) $ 500,000 HIRED NON-OWNED PROPERTY DAMAGE $ 100,000 <br /> AUTOS ONLY _ AUTOS ONLY (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ <br /> (Mandatory in NH)If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> C Errors and Omissions PPP1551199E 03/13/2020 03/13/2021 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The City of Everett, its officers, employees, and agents as Additional Insureds on the policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Clt Of Everett THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Y ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Avenue <br /> Everett, WA 98201 AUTHORIZED REPRES NTATIVE <br /> Ci MP <br /> ©1988-2013 X ORD CORPORATI . All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> Printed by RMP on March 27,2020 at 11:38AM <br />