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® DATE(MM/DD/YYYY) <br /> ACORD CERTIFICATE OF PROPERTY INSURANCE 12/10/2019 <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 /> If this certificate is being prepared for a party who has an insurable interest in the property,do not use this form. Use ACORD 27 or ACORD 28. <br /> PRODUCER CONTACT <br /> NAME: <br /> PHONE 210-9641 FAx (888)210-9642 <br /> _�A/C No Extl:.._(ggg) - ----LA/C,No): <br /> Zem Insurance Solutions E-MAIL <br /> ADDRESS: <br /> 500 La Terraza Blvd.Suite#150 PRODUCER <br /> Escondido,CA 92025 -CUSTOMER ID: -- <br /> INSURER(S)AFFORDING COVERAGE _ NAIL# <br /> INSURED INSURER A:Colony Insurance Company - <br /> Trillium Ink LTD. INSURER B: <br /> dba: Trillium Ink;Trillium Ink Academy INSURER c <br /> INSURER D: <br /> 3418 Broadway <br /> INSURER E: <br /> Everett,WA 98201 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> 3418 Broadway Everett,WA 98201 <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 POLICY EFFECTIVE POLICY EXPIRATION <br /> TYPE OF INSURANCE POLICY NUMBER LTR I DATE(MM/DD/YYYY) DATE(MM/DD/YYYY)I--(COVERED PROPERTY LIMITS <br /> ✓ PROPERTY I I BUILDING $ - <br /> CAUSES OF LOSS DEDUCTIBLES LJ� PERSONAL PROPERTY L$ <br /> BASIC BUILDING BUSINESS INCOME $20,000 <br /> BROAD i CONTENTS EXTRA EXPENSE $INCLUDED <br /> A _ RENTAL VALUE ! $ <br /> SPECIAL — _ - <br /> 12/06/2019 12/06/2020 BLANKET BUILDING <br /> EARTHQUAKE TAT801A31665-- - $ <br /> WIND BLANKET PERS PROP $ <br /> FLOOD BLANKET BLDG&PP $ <br /> I THEFT No Sublimit Business Personal Prop. $50,000 <br /> NO THEFT 7 Tenant Improvements $ <br /> INLAND MARINE TYPE OF POLICY $ <br /> CAUSES OF LOSS �I ' Mobile Business Prop. $ <br /> NAMED PERILS , POLICY NUMBER $ <br /> $ <br /> CRIME I <br /> TYPE OF POLICY <br /> BOILER&MACHINERY/ I $ <br /> ---- EQUIPMENT BREAKDOWN li <br /> SPECIAL CONDITIONS/OTHER COVERAGES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> PROOF OF PROPERTY INSURANCE COVERAGE <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> Trillium Ink LTD. ACCORDANCE WITH THE POLICY PROVISIONS. <br /> dba: Trillium Ink; Trillium Ink Academy <br /> AUTHORIZED REPRESENTATIVE <br /> 3418 Broadway <br /> cx)Cti:/v, <br /> Everett,WA 98201 <br /> ©1995-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 24(2009/09) The ACORD name and logo are registered marks of ACORD <br />