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ACORO® <br /> I,,e� CERTI DATE(MMiDD1YYYY) <br /> FICATE OF PROPERTY INSURANCE 10/19/2020 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTI:ICA HOLDER. TH S <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED B THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER ), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> PRODUCER I CONTACT <br /> KATHERINE DOVINH <br /> KATHERINE DDVINH INS AGY 1NC (A/C,No.Ext1: 425-778-3445 CAI .No1_ 425-670-8978. <br /> StateFarrn KATHERINE HJE DOVINH,AGENT E-MAIL ADDRESS KATHERINE.DOVINH.AZP1 STATEFARM. OM R 1. <br /> 610 200TH ST SW,STE H ER cusTOMER ID: 47-2618-485 I 1 <br /> CUSTOM <br /> LYNNWOOD,WA 98036 • INSURER(S)AFFORDING COVERAGE NAIL# <br /> INSURED INSURER A: State Farm Fire and Casualty Company I 25143 <br /> MAGO'S DREAM LLC DBA BOGY&BRAIN INSURER B: I <br /> YOGA&TAI C <br /> INSURER C <br /> 1319 HEWITT VE INSURER D: <br /> EVERETT WA 98201-3920 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> LOCATION OF PREMISES/DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> SAME AS INSURED'S ADDRESS ABOVE <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. NOTWITHSTANQING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH FESPECT TO WHICH TI-IS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN'MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ILTR I I DATE(MM/DD/WYY) DATE(MMIDDfYYYY) COVERED PROPER-Y i LIMITS <br /> TYPE OF INSURANCE POLICY NUMBERLICY EFFECTIVE POLICY EXPIRATION' <br /> X PROPERTY <br /> CAUSES OF LOSS DEDUCTIBLES X PERSONAL PROPERTY g 113,100 <br /> • <br /> BASIC BUILDING --- <br /> BUSINESS INCOME I'i i <br /> BROAD CONTENTS EXTRA EXPENSE <br /> X SPECIAL I. <br /> EARTHQUAKE 98-BT-B142-0 10/19/2020 06/30/2021 RENTAL VALUE , , <br /> BLANKET BUILDING $ <br /> WIND _ BLANKET PERS PROP — <br /> FLOOD BLANKET BLDG&FP 1 <br /> a <br /> LIABILITY g, 1,000,000 <br /> $ <br /> , <br /> INLAND MARINE TYPE OF POLICY $ <br /> CAUSES OF LOSS <br /> NAMED PERILS POLICY N MBER ' <br /> CRIME <br /> TYPE OF POLICY <br /> $i <br /> BOILER 8 MACHINERY <br /> EQUIPMENT BREAKDOW/ , 1 $1-._- <br /> I <br /> ANNUAL PREM s 825 <br /> SPECIAL CONDITIONS I OTHER COVE ES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) $1 <br /> Annual Premium=$825 paid i full via monthly Auto-pay <br /> 1 <br /> i <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CITY OF EVER I I THE EXPIRATION DATE THEREOF, NOTICE WILL BE, DELIVERED IN <br /> 2930 WETMOR9 AVE ACCORDANCE WITH THE POLICY PROVISIONS. <br /> EVERETT,WA 8201-4044 <br /> AUTHORIZED REPRESENTATIVE <br /> • <br /> ©1995-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 1004360 142986.5 04-24-2020 <br />