Bret Doss Photography LLC 12/4/2020

CERTIFICATE OF INSURANCE-COMMERCIAL L >!> ALLSTATE INSURANCE COMPANY-NORTHBROOK,IL (S� fin& l�4 7 THS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIG-ITS UPON THE CERTIFICATE HOLDER THS CERTIFICATE DOES NOTAMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Description of Operation: THOSE USUAL TO THE INSURED'S OPERATIONS CERTIFICATE HOLDER NAMED INSURED Name and Address of Party to Whom this Certificate is Issued Name and Address of Insured CITY OF EVERETT BRET DOSS PHOTOGRAPHY 2930 WETMORE AVE 13300 BOTHELL EVERETT HWY EVERETT, WA 98201 STE. 303 Location Address(If different than above) This is to certify that policies of insurance listed below have been issued to the insured named above subject to the expiration date indicated below, notwithstanding any requirement,term or condition of any contract or other document with respect to which this certificate maybe issued or may pertain. The insurance afforded by the policies described herein is subject to all the terms,exclusions,and conditions of such policies. TYPE OF INSURANCE AND UMITS Policy Number: 648763144 Effective Date: 03-i4-2020 Expiration Date. 03-14-2021 COVERAGE SUMMARY BUSINESS UABUTY ' AMOUNT COMPREHENSIVE LIABILITY 30 Per Occurrence DAMAGE TO PREMISES RENTED TO YOU $ 50,^00.00 My One Premises MEDICAL PAYMENTS 10,030 Per Person OTHER THAN PRODUCTS/COMPLETED OPERATIONS AGGREGATE $ 4,00.0,500.00 PRODUCTS/COMPLETED OPERATION AGGREGATE 4,000,000.00 PROPERTY INSURANCE POUCY TYPE j x 1 SPECIAL FORM ( BROAD FORM j I BASIC FORMi BUILDERS RISK SPECIAL FORM BUILDING L Replacement Cost I Actual Cash Value Blanket Limit k 1 CONTENTS c 119,696 [Li Replacement Cost I Actual Cash Value I Blanket Limit Deductible s 500 Wind Deductible% 0 Exclude Wind I YES I„ ( NO ADDITIONAL COVERAGE'S: DATA COMPROMISE,EQUIPMENT BREAKDOWN,MTSCELLANEOOS PROFESSIONAL LIABIT,'TY MORTGAGE CLAUSE —The policy contains a Mortgage Clause in favor of: Mortgagee Address CERnFICATE PERIOD THIS CFA]IFICATE WILL REMAIN IN FORCE FROM THE INCEPTION OF THE POLICY UNTIL THE POLICY IS CANCELLED OR EXPIRES. POLICY INCEPTION DATE: 03-19 02 rr1 12:01 AM 112:00 NOON Standard Time at the location of the Insured Premises, PROVISIONS This form is not the contract of insurance,but attests that a policy as identified above has been issued. The provisions of the policy shall prevail in all respects. SHOULD THE ABOVE DESCRIBED POL ICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. HCWARD BURKIIOLZ 11-25-2C Authorized Representative Date CICW010114 Ceaficate Copy