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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> 08/27/2020 <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 Ryan Lambert <br /> NAME: <br /> Mercer Consumer,a service of PHONE R00-591-9351 i FAX <br /> Mercer Health&Benefits Administration LLC voc.No.Eldi: rax.Ned-51ri-1G5-ndCid <br /> (r$m <br /> P.O.Box 9269 EMAIL vlsteam2.serviceercer.Com <br /> ADDRESS: <br /> Des Moines,IA 50306-9269 INSURER(S)AFFORDING COVERAGE NAIC w <br /> INSURERA:Travelers Casualty&Surety Co of America 31194 <br /> INSURED INSURER B: <br /> The Law Office of Christian W Smith PLLC <br /> 6545 49th Northeast INSURER C: <br /> Seattle,WA 98115 INSURER0: <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 /> LT* TYPE OF INSURANCE IINSD 1_114VD 1 POUCY NUMBER (II11.1/00/YcYY) (MAYDD(YYY11 UNITS <br /> COMMERCIAL GENERAL LIABILITY <br /> EACH OCCURRENCE 3 <br /> I -- <br /> CLAIMS-MADE I OCCUR DAMAGE cO RENTED $ <br /> MED EXP(My one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S <br /> POLICY I I PRO LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: <br /> JECT <br /> $ <br /> AUTOMOBILE LIABILITY B�INEED SINGLE LIMIT $ <br /> /Eaardi <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OYa/ED AUTOS SCHEDULED BODILY INJURY(Per accident) $ <br /> ONLY AUTOS <br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ <br /> ONLY I AUTOS ONLY <br /> $ <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE $ <br /> EXCESS UAB CLAIMS-MADE 1 AGGREGATE $ <br /> DED f RETENTIONS $ <br /> • <br /> WORKERS COMPENSATION <br /> p� <br /> AND EMPLOYERS'LIABUTY Y/N STATUTE EDR i <br /> ANYPROPRIETORIPARTNERUEXECLTNE <br /> OFFlCERAIENSER EXCLUDED? l i N I A • E.L.EACH ACCIDENT I$ <br /> (Mandatory In NH) t I <br /> K yes,describe older E.L DISEASE-EA EMPLOYEE $ <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT ;$ <br /> A BOTHER:Professional Liability Insurance DEDUCTIBLE:PER CLAIM $2,500 <br /> r2ETRO DATE:30-AUG-2012 105832480 08/30/2020 08/30/2021 <br /> LIMITS: PER CLAIM $1,000,000 <br /> I AGGREGATE Si 0n0 000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be apaehsd ifmore space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> The City of Everett Washington <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> 64--42. <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights <br /> reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />