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/��..41 RENECON-01 MMILLER <br /> DATE(MMIDD/YYYI� <br /> ACOiz® CERTIFICATE OF LIABILITY INSURANCE 7/10/2020 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> O RSAL NOER RIGHTS COUPON N THE <br /> CEORDED BY THE POLICIES <br /> ERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, <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 poiicy(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 /> CONTACT Terrence Bedford <br /> PRODUCER NAME• <br /> PHONE (360)629-2103 _ 1 FAX No):(360)629-9702 <br /> WAFD Insurance Group,Inc. ( ,Na +Y <br /> Thomas and Associates <br /> PO Box 457 Miss,mercedesm@wafdinsurance.corn <br /> Stanwood,WA 98292 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Ohio Security Insurance Company 24082 <br /> INSURER Li: <br /> INSURED <br /> Nemo&Sanford LLC DBA Renee's Contemporary Clothing INSURER C: - <br /> 2820 Colby Ave INSURER D: — — <br /> Everett,WA 98201 INSURER E:INSURER F: <br /> COVERAGES <br /> CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO THAT THE POLICIES OF INSURANCEBELOW HAVE BEEN ISSUED <br /> THE INSURED NAMED ABOVE FOR THE <br /> INDICATED. CERIFY NOTIM CY <br /> IOD <br /> TTHSTANDING ANY REQUIREMENT, ERMI CONDITIONO <br /> OR OF ANY CONTRACT OR OTHER DOCUMENT VVITH RESPECT PTOLIWHICHRTHIS <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 MAY HAVE BEEN REDUCEDc BYY EFFrP I POLICY D CLAIMS. <br /> LIMITS <br /> IXP <br /> LA i ADDLSUBRI POLICY NUMBER (MM/DD/YYYY)1�MM(DDNYYYI -- 1,000,000 <br /> TYPE OF INSURANCE INSD WYD I _ <br /> A X COMMERCIAL GENERAL LIABILITY <br /> 1 EACH OCCURRENCE $ <br /> DAMAGE TO RENTED $ <br /> CLAIMS-MADE X I OCCUR X �BZS5T539125 9/2/2019 9/212020 �';p�EMISES(baoccurrence) 1,000,0000,000 <br /> MED EXP(Any one person) $ 1,000,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 00, 0 <br /> X I POLICY I 11 I j LOC $ <br /> OTHER: COMBINED SINGLE LIMIT <br /> AUTOMOBILE $ <br /> LIABILnY <br /> (EaAcc��r —.. <br /> BODILY INJURY(PerpersoN $ <br /> ANY AUTO <br /> OWNED `---AUTOS SCHEDULED BODILY INJURY(Per accident) $ <br /> AURTEr) ONLY _ AUpN-1t' n PReOPE DAMAGE $ <br /> AUTOS ONLY AUTO ONLY (�P $ <br /> EACH OCCURRENCE $ <br /> UMBRELLA LIAB OCCUR $ <br /> EXCESS <br /> L6 CLAIMS-MADE AGGREGATE $ <br /> DED RETENTIONS I OTH- <br /> PERTUTE _ 0 <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY Y/N E.L.EACH ACCIDENT _ $(MaANY ndatory <br /> I I N/A E.LDISEASE-EAEMPLOYEE,$ .__. <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> City of Everett,Its Officers,Employees and Agents are Additional Insured if required by written contract or agreement per the BP 79 96 0916 endorsement <br /> (attached). <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Everett <br /> THE EXPIRATIONXPNOTICE <br /> WILL BE DELIVERED IN <br /> WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Avenue,Suite 100 <br /> Everett,WA 98201 AUTHORIZED REPRESENTATNE <br /> , TrP-L-a— <br /> • <br /> • <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) <br /> The ACORD name and logo are registered marks of ACORD <br />