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Accom o DATE(MM/DD/YYYY)® CERTIFICATE OF PROPERTY INSURANCE 10/22/2020 <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 /> PRODUCER CONTACT Palta, Raman <br /> NAME: <br /> PALTA INSURANCE GROUP PHONE FAX <br /> 22725 44th Ave West (A/C.AIL EMt: (A/C,No): <br /> Suite 204 ADDRESS: <br /> PRODUCER <br /> Mountlake Terrace, WA 98043 CUSTOMER ID: <br /> INSURER(S)AFFORDING COVERAGE NAIC R <br /> INSURED INSURER A:AmGUARD Insurance Company 42390 <br /> GERO LLC <br /> INSURER B: <br /> 2714 Colby Ave <br /> Everett, WA 98201-3511 INSURER C: <br /> INSURER D: <br /> 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 /> Location: 2714 Colby AveEverett, WA 98201 <br /> Bldg #001: Fine Dining Restaurant- Sales of Alcoholic Beverages up to 30% of Total Sales - 0943101 <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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS <br /> LTR DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) <br /> X PROPERTY BUILDING $ 0 <br /> CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY $ 200,000 <br /> BASIC BUILDING 10/17/2020 10/17/2021 BUSINESS INCOME <br /> 500 $ <br /> BROAD GEBP141422 EXTRA EXPENSE $ <br /> CONTENTS <br /> X SPECIAL RENTAL VALUE $ <br /> A EARTHQUAKE BLANKET BUILDING $ n/a <br /> WIND BLANKET PERS PROP $ n/a <br /> FLOOD BLANKET BLDG&PP $ n/a <br /> $ <br /> INLAND MARINE TYPE OF POLICY $ <br /> CAUSES OF LOSS <br /> NAMED PERILS POLICY NUMBER $ <br /> $ <br /> CRIME $ <br /> TYPE OF POLICY $ <br /> BOILER&MACHINERY/ $ <br /> EQUIPMENT BREAKDOWN <br /> SPECIAL CONDITIONS/OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> * Actual Loss Sustained up to 12 months <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Ave <br /> Everett, WA 98201 AUTHORIZED REPRESENTATIVE <br /> ©1995-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD <br />