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A DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06/03/2020 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 CONTACT Dennis Bey NAME Business Insurance Management Inc (A/HO NE No,Ext) (206)378-1132 FAX No), (206)378-1136 1818 Westlake Ave N E-MAIL shannon Q©blmins.com ADDRESS Ste 320 INSURER(S)AFFORDING COVERAGE NAIC# Seattle WA 98109 INSURER A Clear Blue Specialty Insurance Company INSURED INSURER B Ohio Security Insurance Company W Business Solutions,LLC,DBA Transblue,LLC INSURER C: National Union Fire Insurance Company of Pittsburgh,PA 7601 Olympic View Drive#6158 INSURER D• INSURER E• Edmonds WA 98026 INSURERF: COVERAGES CERTIFICATE NUMBER: CL1892505831 REVISION NUMBER: 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 INSR AD DL-SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000'000 DAMAGE TO RENTED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A Y Y AR01-RS-1900238-01 04/06/2020 04/06/2021 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY X PRO LOC PRODUCTS-COMP/OPAGG $ 2,000,000 ECT OTHER Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ B OWNED ^ SCHEDULED BAS 59093029 09/25/2019 09/25/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAB CLAIMS-MADE EBU049326488 04/06/2020 04/06/2021 AGGREGATE $ 5,000,000 DED RETENTION $ $ WORKERS COMPENSATION PER X oTH- STOP GAP STATUTE ER AND EMPLOYERS'LIABILITY Y/N 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA ARO1-RS-1900238-01 04/06/2020 04/06/2021 EL EACH ACCIDENT $ OFFICER/MEMBER EMBER EXCLUDED EL DISEASE-EA EMPLOYEE $ 1,000000 (Mandatory in NH) If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re.3600&3700 Smith Street Everett,WA Certificate holder is listed as additional insured on a primary and non-contributory basis with a Waiver of Subrogation per endorsements CG 20 34 07 04,CG 24 04 05 09,CG 20 37 04 13,CG 20 10 04 13 Per project aggregate applies per endorsement CG 25 03 05 09 • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. 3200 Cedar St Door#5 AUTHORIZED REPRESENTATIVE Everett WA 98201 ./ , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD