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A cP III® CERTIFICATE OF PROPERTY INSURANCE DATE(MM/DD/YYYY) <br /> io/27/zo2o <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 /> CONT <br /> PRODUCER NAMEACT Palta, Raman <br /> PALTA INSURANCE GROUP FAX <br /> PHONE <br /> 22725 44th Ave West E-MA�o-€X�1 (arc Not <br /> Suite 204 ADDRESS; ------- --- <br /> PRODUCER <br /> Mountlake Terrace, WA 98043 CUSTOMER ID. <br /> INSURER(S)AFFORDING COVERAGE 1 NAIC# <br /> INSURED INSURER A:AmGUARD Insurance Company 42390 <br /> Gurkripa LLC <br /> INSURER B: <br /> Curries i <br /> 7318 Evergreen Way Ste 101 NSURERC: <br /> Everett, WA 98203-5684 _INSURER D: - _ _ — I_ <br /> INSURER E: <br /> INSURER F: I _ <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: 7318 Evergreen Way Ste 101Everett, WA 98203-5684 <br /> Bldg #001: Cafeteria or Buffet Style Full Cooking Restaurant- 0902101 <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 /> -- - TYPE OF INSURANCE POLICY NUMBER - ---- <br /> IN SR POLICY EFFECTIVE POLICY EXPIRATION <br /> LT : DATE(MMIDD/YYYY)'�DATE(MM/DD/YYW) COVERED PROPERTY LIMITS <br /> 1 X I PROPERTY I I BUILDING $ 0 <br /> II— <br /> ------- <br /> CAUSES OF LDSS ,' DEDUCTIBLES I I PERSONAL PROPERTY $ 100,000 <br /> BUILDING 02/05/2020 02/05/2021 " * <br /> BASIC BUSINESS INCOME $ <br /> LBROAD 1--- EXTRA EXPENSE $ * <br /> X SPECIALRENTAL VALUE $ <br /> CONTENTS GUBP154712 I i - -- - <br /> • <br /> + BLANKET BUILDING $ n/a <br /> A EARTHQUAKE <br /> WIND -----I BLANKET PERS PROP ----$ n/a---/ - - <br /> FLOOD 1 BLANKET BLDG&PP $ n/a <br /> I $ <br /> • <br /> INLAND MARINE TYPE OF POLICY $ <br /> �I <br /> CAUSES OF LOSS $ <br /> NAMED PERILS POLICY NUMBER - ---, _- - --- -$ <br /> CRIME $ <br /> TYPE OF POLICY $ <br /> i $ <br /> MACHINERY EQUIPMENT BREAKDOWN - - $ <br /> $ <br /> $ <br /> $ <br /> SPECIAL CONDITIONS I 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 /> The City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Ave, Suite 10A <br /> Everett, WA 98201 AUTHORIZED REPRESENTATIVE <br /> ©1995-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 24(2016103) The ACORD name and logo are registered marks of ACORD <br />