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A��® DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 10i20i2020 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER 360-354-5565 360-354-5531 NAME CT ANDREW JEWELL <br /> ANDREW JEWELL AGENCY (PAH°O,,"N ic ,Ext): 360-354-5565 (A/C 360-354-5531 <br /> 510 FRONT STREET MASS;IESS;AJEWELL@FARMERSAGENT.COM <br /> LYNDEN, WA 98264 INSURER(S)AFFORDINGCOVERAGE NAIC# <br /> INSURERA:TRUCK INSURANCE EXCHANGE 21709 <br /> INSURED INSURER B: FARMERS INSURANCE EXCHANGE 21652 <br /> JEN ALANIZ dba STARBRIGHT EARLY LEARNING CENTER INSURER C: MID CENTURY INSURANCE COMPANY 21687 <br /> 607 SE EVERETT MALL WAY#13 INSURER D: <br /> EVRETT, WA 98208 INSURERE: <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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) <br /> ✓ COMMERCIAL GENERAL LIABILITY ✓ ✓ EACH OCCURRENCE $ 1,000,000 <br /> A DAMAGE TO RENTED <br /> CLAIMS-MADE ✓ OCCUR PREMISES Ea occurrence) $ 1,000,000 _ <br /> 606716376 10/22/2019 10/22/2020 MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: ✓ ✓ GENERAL AGGREGATE $ 2,000,000 <br /> POLICY 78- LOC PRODUCTS-COMP/OPAGG $2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COa aBIN SINGLE LIMIT $ 1,000,000 <br /> A ANY AUTO 60616376 10/22/2019 10/22/2020 BODILY INJURY(Per person) $ <br /> ALL OWNED / SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS v AUTOS <br /> INON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS ✓ AUTOS (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N IA <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Addttlonal Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITY OF EVERETT <br /> 2930 WESTMORE AVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> EVERETT, WA 98201 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />