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A� " <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(""M/°O" ") <br /> 11/21/2020 <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 endorsements). <br /> PRODUCER NCr°NT L'T DOUG GREIERT <br /> Greiert Insurance,Inc. NENo 425 334-7577 FAX 425-377-2858 <br /> 714 Ave 0 E-MAIL (AfC,Nog <br /> AlyDREss, greiert@comcast.net <br /> INSURERS)AFFORDING COVERAGE NAIC C <br /> Snohomish WA 98290 INSURER A: OHIO SECURITY INSURANCE COMPANY <br /> INSURED <br /> Sc Alliance LLC dba teSURER <br /> e' <br /> Epic Catering INSURER - <br /> 8525 36th Ave NE SISURER°: <br /> Marysville, WA 98270 INSURER E: - A <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 20201121084515903 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 OATH 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 IADDL SUER' - POLICY EFF I POLICY EXP <br /> LTRIN¢O WUn POLICY NUMBER IIINDOIYYYYI I IMM/DO/YYVYI' UMITS <br /> - COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE I$ 1,000,000 <br /> v DAMAGE TO RENTED <br /> CLAIMS-MADE ��OCCUR PRfMISES(EeoCcurrorce) S 1,000,0 00 <br /> -- + MED EXP(My one person) ••$ 15,000 <br /> A _ Y Y BKS58548701 10/08/2019 1 10/08/2020 PERSONAL dADVINJURY I$ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER• _______~ <br /> GENERAL AGGREGATE $ 2,000,000 <br /> �PRO- �/ <br /> I POLICY,� I JECT [ LOC L PRODUCTS-COMP/OP AGG $ 2.000,000 <br /> I OTHER I <br /> I s <br /> AUTOMOBILE LIABILITY ! COMBINED SINGLE LIMIT S <br /> lEs amdentt <br /> ANY AUTO )BODILY INJURY(Per person) $ <br /> L AUTOS i OWNED n.ED ( BODILY INJURY(Per accident) $ <br /> t^AUTOS ONLY AUTOS <br /> HIRED NON-OVVNED <br /> L_�AUTOS ONLY _, AUTOS ONLY - PROPERTY.22LPED)DAMAGE $ <br /> a <br /> UMBRELLA UAB 1 OCCUR I EACH OCCURRENCE $ <br /> EXCESS LIAR i jCLAIMS-MADE; AGGREGATE <br /> $ <br /> i DED RETENTIONSil S <br /> WORKERS COMPENSATION I PER i 1 OTH- <br /> AND EMPLOYERS'LIABILITY Y 1141 <br /> N! I STATUTE ER <br /> I ANYPROP ICTOMPARTNEM/EXECUTIVE '_ E.L.EACH ACCIDENT S <br /> ,OFFICER/MEMBER EXCLUDED? <br /> l'NIAy -., <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $i If yes,describe under <br /> ;DESCRIPTION OF OPERATIONS below <br /> ' EL DISEASE-POLICY LIMIT $ <br /> I ' <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is requited) <br /> RE:ALL OPERATIONS OF THE INSURED <br /> THE CITY OF EVERETT,ITS OFFICERS,EMPLOYEES AND AGENTS ARE ADDITIONAL INSUREDS PER FORM CG2026 04/13. IF REQUIRED BY <br /> WRITTEN CONTRACT,COVERAGE IS PRIMARY AND NON CONTRIBUTORY PER FORM CG8810 04/13,AND INCLUDES WAIVER OF SUBROGATION. <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 /> THE CITY OF EVERETT <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 WETMORE AVE STE#10 A <br /> EVERETT, WA 98201 AUTHORIZED REPRESENTATIVE _-_. ' <br /> ©1988-2016 ACORO CORPORATION. All rights reserved. <br /> ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD <br />