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Aca►RL' CERTIFICATE OF LIABILITY INSURANCE DATE(MMroD/YYYY) <br /> 09/25/2020 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> Silver Lake Insurance I S.Sinex AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> 10524 32nd DR SE CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE <br /> AFFORDED BY THE POLICIES BELOW. <br /> Everett WA 98208 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A' Mainstreet America Group <br /> The Ceramic Place LLC <br /> INSURER B: <br /> 1327 112th ST SE,Suite C <br /> INSURER C: <br /> INSURER D: <br /> Everett WA 98208 <br /> I INSURER E. <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM <br /> 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 <br /> DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 1NSR ADD'L POLICY EFFECTIVE POUCY EXPIRATION <br /> LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE IMMIODIYYYY) , DATE(MM,DDlYYYY) UMO'S <br /> GENERAL LIABILITY BPP5654N 08/04/2020 08/04/2021 EACH OCCURRENCE $ 10000( <br /> ✓ ✓ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 10000( <br /> A CLAIMS MADE ✓ OCCUR PREMISES(Ea occurrence) 100E <br /> MED EXP(Any one Person) S <br /> PERSONAL&ADV INJURY $ 10000E <br /> GENERAL AGGREGATE $ 20000t <br /> GEN'L AGGREGATE UMIT APPLIES PER' PRODUCTS-COMP/OP AGG $ 20000( <br /> POLICY PROJECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILYINJURY <br /> SCHEDULED AUTOS $ <br /> (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY E+ S <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO <br /> OTHER THAN EA ACC S <br /> AUTO ONLY: qGG S <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> S <br /> DEDUCTIBLE <br /> $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> EMPLOYERS'LIABILITY Y 1 N TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L DISEASE-EA EMPLOYEE S <br /> If you,describe under <br /> SPECIAL PROVISIONS oelow E.L.DISEASE-POLICY LIMIT 5 <br /> OTHER $52,640 with$500 Deductible <br /> A BPP Contents <br /> BOP Coverages included <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br /> Additional Insureds.City of Everett,It's officers,employees and agents,and Everett Cares Grant Program. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Everett CARES Grant Program DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL SO DAYS WRITTEN <br /> 2930 Wetmore Ave,Suite 8A NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,IT ENTS OR <br /> Everett WA 98201 REPRESENTATIVES. <br /> AUTHORIZED REP tt <br /> ACORD 25(20091011 Paoe 1 of 2 n iono.1nnn /`ADrt C'flOnrs rink: •u <br />