Laserfiche WebLink
ACC CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 09/02/2020 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT <br /> AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT <br /> CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED 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. If SUBROGATION IS <br /> 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 <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER Simply Business CONTACT Simply Business <br /> 1 Beacon Street PHONE FAX <br /> 15th Floor (A/C,No,Ext): (844)654-7272 (A/C,No): <br /> E-MAIL business.comi sm I <br /> Boston, MA 02108 ADDRESS: contactus @ P Y <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: Hiscox Insurance Company Inc 10200 <br /> INSURED Law Office of Jamie S. Kim INSURER B: <br /> 3221 Oakes Ave INSURER C: <br /> Everett, Washington 98201 INSURER D: <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 INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF <br /> SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY X HIUS2822346XB 09/02/2020 09/02/2021 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrrence( $100,000 <br /> MED EXP(Any one person) $5,000 <br /> PERSONAL BADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> X PRO- <br /> POLICY JECT LOC PRODUCTS-COMP/OPAGG S/T Gen.Agg. <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) <br /> - SCHEDULED BODILY INJURY(Per accident) <br /> OWNED AUTOS <br /> _ AUTOS ONLY <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED RETENTION <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT <br /> OFFICER/MEMBEREXCLUDED? N/A <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 /> PROFESSIONAL LIABILITY EACH CLAIM <br /> AGGREGATE <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate Holder is listed as Additional Insured on the General Liability policy as per written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Everett THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> 3200 Cedar Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Door#5 <br /> Everett,WA 98201 AUTHORIZED REPRESENTATIVE <br /> //egififWe-s <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />