The Historic Everett Theatre 11/30/2020

REDMBUI-01 R1 KJOHNSON ACOl20 CERTIFICATE OF LIABILITY INSURANCE DATE 8/5/2 D/YYYI� /512020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT Kassi Johnson PRODUCER NAME:. AssuredPartners of Washington,LLC PHONE 42 P.O.Box 847 (Nc,No,Ext).(425)952-2661 FAX (NC,No): Redmond,WA 98073 ADDss;kassi.johnson@assuredpartners.com INSURER(SJ AFFORDING COVERAGE NAIC# INSURER A:Great American Assurance Co 26344 INSURED INSURER a:Great American Alliance Insurance Company 26832 Redmond Building A,LLC INSURER C: PO Box 2729 INSURER D: Kirkland,WA 98083-2729 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSO WVD IMM/DD/YYYYi (MMIDD/YYYY) A )( COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 --- CLAIMS-MADE X OCCUR X PAC066498206 DAMAGE TO RENTED 100,000 2/27/2020 2/27/2021 PREMISES.(Eaoccurrence) S..- X WA Stop Gap MED EXP(Anyoneperson)- 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E 2,000,000 PRO- JECT 2,000,000 X POLICY LOC PRODUCTS-COMP/OP AGG $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea acdsienS) 5_ ANY AUTO PAC066498206 2/27/2020 2/27/2021 BoDILY INJURY(Per person) $ 3,-_, OWNED SCHEDULED AUTOSREp ONLY _ AUTOS BODILY INJURY Tor accident) $P _ X AUTOS ONLY X NON-OWNED ONLDY {Per aocdentj DAMAGE $ B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE UMB066498306 2/27/2020 2/27/2021 AGGREGATE $ 1,000,000 DED RETENTION$ s WORKERS COMPENSATION PER OTH- ANO EMPLOYERS'LIABILITY Y/N STATUTE __.._:,.ER _. ..._. ANY PROPRIETOR/PARTNER/EXECUTIVE EL._EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:2911 Colby Ave,Everett,WA 98201 It Is agreed that City of Everett Is included as Additional Insured.See attached endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. 2930 Wetmore Avenue Suite 1-A Everett,WA 98201 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD