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''""' IRISHME-01 JROSE <br /> "AC-CA/WY' <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 10/13/2020 <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 <br /> NAME_ <br /> Hub International Northwest LLC PHONE <br /> PO Box 3018 (A/C,No,Ext):(425)4894500 <br /> Bothell,WA 98041 Ma E-MAI Fn c,No):(425)485-8489 <br /> ss,now.info@hubintemational.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:First Mercur,tlnsurance Company 10657 <br /> INSURED INSURER B: <br /> The Irishmen, LLC dba Irishmen Restaurant&Pub INSURERC: _ <br /> 2923 Colby Avenue INSURERD: <br /> Everett,WA 98201 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSRT TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP <br /> LTR INSD WVD POLICY NUMBER IMM/DD/YYYY1 (MM/DD/YYYYII LIMITS <br /> A X j COMMERCIAL GENERAL LIABIL TY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR X FMEV112674 11/5/2019 11/5/2020 pRQ dISEmEo TErrence) $ 100,000 <br /> .. ------ ---- MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMITAPPLIESPER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY rJEC� (Xj LOC PRODUCTS-COMP/OP AGO _$ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBI <br /> BI accident) <br /> SINGLE LIMIT(Ea $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOSRE ONLY _ AUTOS BODILY INJURY(Per accident) $ <br /> —_AUTOS ONLY NON-OWNED <br /> ONELDY PROPERTY DAMAGE <br /> (Per acciden $ <br /> $ <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LJAB CLAIMS-MADE <br /> - - -- - AGGREGATE $ <br /> j DED I,RETENTION S $ <br /> WORKERS COMPENSATION STATUTER0T <br /> AND EMPLOYERS'LIABILITY Y/N ER <br /> - - <br /> ANY <br /> ICEWMEM ER PEXCLUDED?FCUTIVE 1 N/A <br /> Q� gg E.L EACH ACCIDENT $ <br /> (Mandatory in NH) E.L DISEASE-EA EMPLOYEE$ <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A General Liability FMEV112674 11/5/2019 11/5/2020 Each occurrence 1,000,000 <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate holder is additional insured per policy provisions. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> The City of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Its Officials,officers,employees,agents&volunteers <br /> 2930 Wetmore Ave <br /> Everett,WA 98201 AUTHORIZED REPRESENTATIVE <br /> I <br /> ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />