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Casa El Dorado Mexican Handicrafts 11/23/2020
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Casa El Dorado Mexican Handicrafts 11/23/2020
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Entry Properties
Last modified
11/25/2020 10:27:56 AM
Creation date
11/25/2020 10:27:43 AM
Metadata
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Template:
Contracts
Contractor's Name
Casa El Dorado Mexican Handicrafts
Approval Date
11/23/2020
End Date
7/31/2021
Department
Administration
Department Project Manager
Tyler Chism
Subject / Project Title
Everett CARES 2 Small Business Grant
Tracking Number
0002509
Total Compensation
$10,000.00
Contract Type
Agreement
Contract Subtype
Grant
Retention Period
6 Years Then Destroy
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AcciRD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDWYYY) <br /> 11/02/2020 <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 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 /> PRODUCER CONTACT Nicole Siegfried <br /> NAME: <br /> Bell Anderson Agency,Inc. (A/CONEN E>d). (425)291-5200 FAX <br /> No): (425)291-5100 <br /> 600 SW 39th St,Suite 200 E-MAIL nicoles@bell-anderson.com <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Renton WA 98057 INSURER A: Mutual Of Enumclaw Insurance Co 14761 <br /> INSURED INSURER B: Austin Mutual Insurance Company 13412M <br /> Ismael Avendano-Galvez,Favio Avendano-Perez,Eduardo INSURER C: <br /> Avendano-Perez,DBA:Casa El Dorado Mexican Handcrafts INSURER D: <br /> 205 E Casino Rd#12 INSURER E: <br /> Everett WA 98208 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL2011243384 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ILTR INSD SWVD POLICY NUMBER UER PMIDDYEFF POLICY EXP LIMITS <br /> TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGES O REN rtD 100,000 <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ 10,000 <br /> A Y Y BOP001500403 12/04/2019 12/04/2020 PERSONAL&ADVINJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY n JECOT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: Liquor Liability Liquor Liability $ 1,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> B X OWNED SCHEDULED B1 P0444Q 12/04/2019 12/04/2020 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY X AUTOS ONLY (Per accident) <br /> $ <br /> UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> Y/N 1,000,000 <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE BOP001500403-WA Stop Gap12/04/2019 12/04/2020 E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER N/A ER EXCLUDED? p 1,000,000 <br /> in <br /> (Mandatory <br /> NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under 1 000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The City of Everett and its officers,employees and agents are additional insured per the attached endorsement#BP0448 0713. Waiver of subrogation per <br /> the attached endorsement#BP0497 0106. Primary&non-contributory coverage per the attached endorsement#BP1488 0713. <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 Economic Development Department ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Ave Suite 10-A <br /> AUTHORIZED REPRESENTATIVE <br /> Everett WA 98201 <br /> I / <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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