At Large Brewing LLC 8/3/2020 - Laserfiche WebLink

_�--""01 ATLARGE-01 JROSE A L CERTIFICATE OF LIABILITY INSURANCE DA6/25/2020 TE ) 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). ICONTACT PRODUCER I—NAME_...__....------..._..._..........._._..._....._._......_.._.....---........._._._..__..........._..._.._. _........................_._. Hub International Northwest LLC I PHONE fFAx PO Box 3018 I(Arc,No,Ext):(425)489-4500 I(A/c,No):(425)485-8489 Bothell,WA 98041 'ADOREss:now.info@hubintemational.com IINSURER(S)AFFORDING COVERAGE i NAIC# I INSURER A:Sentinel Insurance Company,Ltd. 111000 INSURED I INSURER B At Large Brewing i INSURERC: 7809 29th PI NE I INSURER D: Marysville,WA 98270 INSURER E: • I INSURER F: • • COVERAGES CERTIFICATE NUMBER: 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. INSRT IADDL'SUBR POLICY EFF I POLICY EXP i LTR I TYPE OF INSURANCE ;INSD WVD POLICY NUMBER I(MM/DD/YYYY)!(MM/DD/YYYY). LIMITS A i X EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY ! ! 1,000,000 f$ DAMAGE TO RENTED 1,000,000 I I CLAIMS-MADE I X OCCUR X 52SBAAE1591 3/1/2020 3/1/2021 pREMI$E$(Eac+mgrence) J_$.... .MED EXP(Any oneperson)-- $. 10,000 L PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 — 2,000,000 POLICY JECT 1 i LOC ' I PRODUCTS-COMP/OP AGG $ 1I OTHER: I $ AUTOMOBILE LIABILITY ! COMBINED SINGLE LIMIT ! !ANY AUTO I BODILY INJURY(Per person) $ OWNED ,SCHEDULED AUTOS ONLY ;AUTOS i BODILY INJURY(Per accident) $ HIRED AUTOS N ONLY PROPERTY AMAGE I �, AUTOS ONLY '.._ ;AUTOS ONLY � j( r accident) $Pe II ,_ $ • UMBRELLA LIAB ` I OCCUR IEACH OCCURRENCE $ EXCESS LIAB I CLAIMS-MADE! I AGGREGATE $ I DED I RETENTION$ I I $ WORKERS COMPENSATION I I PER I I OTH- AND EMPLOYERS'LIABILITY STATUTE I I ER • ANY PROPRIETOR/PARTNER/EXECUTIVE Y'_1 I 'E.L.EACH ACCIDENT I$ i OFFICER/MEMBER EXCLUDED? i ' N/A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE'$ i If yes,describe under ! !DESCRIPTION OF OPERATIONS below I I E.L DISEASE-POLICY LIMIT $ i DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The City of Everett,Its officers,employees and agents are additional insured if required by written contract or written agreement,subject to the general liability blanket additional Insured provision per form SS 00 08 04 05 attached(refer to item#6 a-f beginning on page 11 of 24). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2930 Wetmore Ave#8-A Everett,WA 98201 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD