Blue Marble Environmental LLC 5/7/2020

A 12IJ CERTIFICATE OF LIABILITY INSURANCE DATE A MMI 02 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 tNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 tights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Mark Scheele NAME: StateFarm Thury Foster State Farm PHONE Ext): 206-985-2528 (;FAX No); 206-985-2549 <. 1311 NE Ravenna Blvd ADDRESS ; mark4thuryfoster.Com <_,a INSURERS)AFFORDING COVERAGE NAIC N Seattle WA 98105 INSURER A: State Farm Fire and Casualty Company 25143 INSURED INSURER$: State Farm Mutual Automobile Insurance Company 25178 BLUE MARBLE ENVIROMENTAL LLC INSURER C: 5419 GREENWOOD AVE N INSURER o: INSURER E: i Seattle WA 98103 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AODLIUBR POLICY EPF POLICY EXP ILTR TYPE OF INSURANCE INSD WVD POUCYNUMBER (MMIDDIYYYYI (MMIDDIYYYY) UNITS X.COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 (� DAMAGE TO RENTED 3QQ,OOO CLAIMS-MADE 11 OCCUR PREMISES(Ea occurrence) $ MED EXP(My one person) $ 5,000 A — Y Y 98-CD-W013-4 07/17/2019 07/17/2020 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO 0 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 �JECT 8 OTHER; COM81tS 0 SINGLE IRAIT $ AUTOMOBILE UABIUTY Y Y 342 2501-B10-47N ` 02/10/2020 08/10/2020 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ 1,000,000 B . AUTOS ONLY AUTOS SCHEDULED i BODILY INJURY(Per so PROPERTY $ 1,000,000 HIRED NON-OWNED PROPERTY DAMAGE $ 1,000,000 _ AUTOS ONLY — AUTOS ONLY (Per accident} $ UMBRELLA UAB r___ OCCUR EACH OCCURRENCE S — EXCESS LIAR CLAIMS-MADE AGGREGATE S DED i RETENTIONS I WORKERS COMPENSATION SEATUTE ER AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Yj E,L,EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NM) E.L.DISEASE•EA EMPLOYEE $ It yyees,deaorlb l under E,L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below - DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Location:Seattle/King?Snohomish Additional Insured City of Everett is Primary and Non-Contributory Vehicle:2000 Ford Ranger Pickup VIN 1 FTZR15X6YPB03239 Service:Provide Communicatgion,Coordination,and resources management among meal providers in Everett,as a response to COVID-19 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Community Foundation of Snohomish County ACCORDANCE WITH THE POLICY PROVISIONS. • 2823 Rockefeller Ave AUTHORIZED Es1:NT;II/ Everett WA 98201 I 01988-2015 ACORD CORPORATION. AU rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016