Laserfiche WebLink
HYDRSTA-01 HPATRO <br /> '4COR0. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 5/29/2020 <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: <br /> Hub International Northwest LLC PHONE FAX <br /> PO Box 3018 (A/C,No,Ext):(425)489-4500 (A/c,N0):(425)48543489 <br /> Bothell,WA 98041 %Miss;now.info@hubinternational.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Scottsdale Insurance Company 41297 <br /> INSURED INSURER B: <br /> Hydrology Stand Up Paddle,LLC INSURER C: <br /> 4816 College Ave INSURER D: <br /> Everett,WA 98203 <br /> INSURER E: <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 /> INSR LTR TYPE OF INSURANCE INSO W I/�DR POLICY NUMBER POLICY EFF POLICY EXP MID MI LIMITS <br /> (MD/YYYYL IMDD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR X CPS-3341468 6/10/2020 6/10/2021 PREMISES(Ea occurrence) $ 100,000 <br /> MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: STOP GAP $ 1,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> _ AUTOSRE ONLY AUTOS <br /> yyry D BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS ONLY PROa cadent)AMAGE <br /> Fe $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY <br /> YIPROP IIETOE /PARTNER/EDED?ECUTIVE N/A E,L EACH ACCIDENT $ <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) <br /> Re:Project Service Agreement <br /> The City Of Everett,Its Officers,Agents And Employees are included as Additional Insured per the attached forms/endorsements. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CityOf Everett Parks&Recreation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 802 MUKILTEO BLVD <br /> Everett,WA 98203 <br /> AUTHORIZED REPRESENTATIVE <br /> e/ AOZ, <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />