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/� RENECON-01 KHANSEN <br /> DATE(MM/DD/YYYY) <br /> A J RO CERTIFICATE OF LIABILITY INSURANCE 10/16/2020 <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 certificate doesIS <br /> not AII conferright <br /> s subject <br /> ttto the terms and ificate holder in lieu conditions <br /> of <br /> a policy, <br /> certain ent(s)policies may require an endorsement. A statement on <br /> this <br /> %�iTACT Karen Hansen <br /> PRODUCER PHONE FAX 629.9702 <br /> WAFD Insurance Group,Inc. (arc,No,Ext):(360)629-2103 ( m)-(360) <br /> Thomas and Associates ,karen@thomagins.com <br /> Box 457 <br /> Stanwood,WA 98292 INSURER(S)AFFORDING COVERAGE NAIC S <br /> INSURER A:Ohio Security Insurance Company 24082 <br /> INSURED <br /> INSURER B: <br /> Nemo&Sanford LLC DBA Renee's Contemporary Clothing JOURER C: <br /> 2820 Colby Ave INSURER D: <br /> — <br /> Everett,WA 98201 INSURER E: <br /> INSURER F: <br /> COVERAGES <br /> 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 N MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> . LIMITS <br /> INSR ADDLIJev0j POLICY NUMBER ,(MM/DDNYYY) (EFF POLICY1'YYYI 1,000,000 <br /> TYPE OF INSURANCE INSD yllV� <br /> LTR: EACH OCCURRENCE <br /> A X COMMERCIAL GENERAL LIABILITY I DAMAGE TO RENTED 1,000,000 <br /> CLAIMS-MADE X I OCCUR X BZS57539125 9/2/2020 9/22021 PREMISES(Eaocdarrenoe) $ 15,000 <br /> MED EXP(Any one person) $ 000,000 <br /> --- — PERSONAL&ADV INJURY $ 2,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGRREGEG ATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ _ <br /> POLICY PET LOC $ <br /> OTHER: COMBINED SINGLE LIMIT $ <br /> AUTOMOBILE UABILITY (Ea accident) <br /> BODILY INJURY(Per person) $ <br /> ANY AUTO <br /> OWNED SCHEDULED BODILYO INJURY(Per accident) $ <br /> AUTOS ONLY NOTO�Syy�E PROr ecadentDAMAGE _$ <br /> AUTOS ONLY AUTOS ONLY $ <br /> EACH OCCURRENCE $ <br /> UMBRELLA UAB ^ OCCUR AGGREGATE $ <br /> EXCESS UAB CLAIMS-MADE $ <br /> DED RETENTIONS <br /> PERTUTE I O <br /> TH- <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY ER <br /> Y/N E.L EACH ACCIDENT �_ <br /> ANYPROPRIETOR/PARLUDEDXECUTNE I N/A E.L.DISEASE-EA EMPLOYEE $ — <br /> �FFICEtory In ER EXCLUDED? <br /> Aandatory In NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMB $ <br /> DESCRIPTION OF OPERATIONS below _ - <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more apace Is required) <br /> City of Everett,Its Officers,Employees and Agents are additional insureds per the attached BP 79 96 0916 endorsement <br /> CERTIFICATE HOLDER CANCELLATION <br /> ELLED <br /> SHOULD <br /> EXPIRATIONH DATEE V THEREOF,E NOTICE D EWILL S BE CBECDELIV RED BEFORE <br /> THEIN <br /> City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Avenue,Suite 100 <br /> Everett,WA 98201 AUTHORIZED REPRESENTATIVE <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 />