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ACG1ROa CERTIFICATE OF LIABILITY INSURANCE °°TEI""40,"`"" <br /> 10.-- 08/26/2020 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATTVELY 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(Sl,AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certifica6e holder is an ADDITIONAL INSURED.the policy(iesi 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 endarsometn(s). <br /> ►RODUCEP eoNTAtT <br /> NAME Paler Jones <br /> Pacific Crest Services, Inc. DBA Jones Insurance t°Ar "ENo.arlm (s25)2oe.o5M9 Atsx <br /> N►> <br /> 3301 Hoyt Ave moms, p.lopacilkerestinsuranse.com <br /> Everett,WA 98201 lA NG I <br /> BRA: Mutual of Enumclaw 14781 <br /> AsuRF43 <br /> su&mt a <br /> 3 Amigos Vaqueros ftsuit,ic <br /> 315E Casino Rd O.SIMtERa <br /> Everett,WA 98204 MOM!E <br /> AMMIER I, <br /> COVERAGES CERTIFICATE NUMBER: 00226552-60121 REVISION NUMBER: 2 <br /> THIS IS TO CERTIFY THAT TFE 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 THi5 <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 POuCiES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID„LAJMS <br /> Mill; - ._ —. . <br /> siftt flT[OF MMJ C1 "ND Y IRMO La y 1 t l WrYrAw1 LINTS <br /> A I X colEN oai.°maim Lemur BOP0018322 01/0W12020 01RI9/2021 EACH(r.'IR E s 1,000,000 <br /> 'Tu V AGE TO RENTED <br /> . CLAN%MACE . cX.'C.t.R F,ii r.,51,S iEs acusilocsi ._S 250,000 <br /> urt:r,cr`AA/lAeetrean• $ 1 0,000 <br /> .... _.. MASON&aADVNARY $ <br /> Gem A OREOATE UmT APFUES PEN GE MORAL AmeroAlc i 2 000,000 <br /> X POLrC+ ECt L._ I`):: c'icxuc s co11Piop Moo.I 0094 <br /> 1 OT'ER t <br /> AUTONOwIL LIABILITY 1 --CCNENED SINGLE or 1 <br /> a sasomb <br /> —1 ANY ALTO <br /> tiC1Ul YPLAftllPrrp.,orr i <br /> — 'ONtiE6 SO.EDVE.ED+ "". <br /> _i AUTos cALY AU'CS n0(7L r NARY I Pee wader $ <br /> NNW NoN•7me_o PROPCRTY DAMA OE a <br /> AUTOS ONLY — Au-OS 00A, p <br /> s <br /> tMralutu!►LAB 1 'XCUTi NCH OCCURRENCE ,s <br /> ammasa LAS a Aus,ijAnG Aoa c a. $ <br /> LIED I FETE'1T NI ` $ <br /> SVOIeI as OOMa"ENaaTlON PER pTI. <br /> AND IMPLOYsiti'imaaiTY Y/N STATUTE ?A <br /> ♦My PRCPMETDAPART!IEA ERI/Tt.T,we r __ El FAC$AtOioer s <br /> (PI'cares EIMaER ExcwocoT 6 i NIA _ <br /> i ~ nasr EL t715EASE_E�LENPLOrEq I , <br /> OEScRIPFON OF MAKI-C:HS bide. E L CISEASE-POLICY LAM t .s <br /> l <br /> OPBIATIO OE101, <br /> _ .. ewe be~hod et isms*Woo is rp,Iww <br /> S+p!/T1ON OF t.aCATIONa I YQaaa fAGCs t tliO M,AeaalMW awle�b sHraHis Me <br /> The certificate addds the City of Everett and its officers,employees and Agents as additional insureds. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOIXD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF.NOTICE IMLL BE DELIVERED IN <br /> City of Everett Community Development ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Ave Suite 8-A <br /> Everett,WA 98201 AUTHORIZED A/Prte s THE <br /> - A 1 . (PJO) <br /> 1 •2+15 ACORD CORPORATION. All rights reserved. <br /> ACORD 2512016103► The ACORD name and logo are registered marks of ACORD <br /> Pnrnied by PJO On August 26.2070 at 03 19Pf4 <br />