Skate Deck 12/1/2020 - Laserfiche WebLink

ACCMILIA DATE'.(MM/DD/YYYY) IN--- CERTIFICATE OF LIABILITY INSURANCE 11/16/2020 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 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). , PRODUCER CONTACT NAME: Debbie Land PHONE FAX JBL Trinity Group (NC,No,Ext). 800-925-7465 (A/C No). 50 First Ave E-MAIL deb_bieland@jbltrinity.com Atlantic Highlands NJ 07716 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Aegis Security Insurance Company 33898 INSURED INSURER B_ Englund Recreation Inc. dba Skate Deck INSURERC 9700 19th Ave SEI NSURERD Everett,WA 98208 INSURERE. 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 EFF POLICY EXP LTR INSR W POLICY NUMBER VD (MM/DD/YYYYI (MM/DD/YYYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000.00 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $ 2,000,000.00 CLAIMS-MADE I I OCCUR 10/29/2020 10/29/2021 PERSONAL&ADV INJURY $ 1,000,000.00 A Policy#FGLSP-100-20 12:01 AM EACH OCCURRENCE $ 1,000,000.00 X INCLUDES ATHLETIC PARTICIPANTS Cert#FWA-S-0007 DAMAGE TO RENTED $ PREMISES 300,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: MED EXP(Any one person) $ 5,000.00 POLICY PET II LOC S AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ 1,000,000.00 , ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED Policy#FGLSP-1 00-20 10/29/2020 10/29/2021 BODILY INJURY(Per accident) A AUTOS AUTOS $ X HIREDAUTO X NON-OWNED Cert#FWA-S-0007 12:01 AM PROPERTY DAMAGE _AUTOS (Per accident) $ S UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DES RETENTION $ $ $ EACH OCCURRENCE $ 100,000.00 A Sexual Abuse/Molestation Policy#FGLSP-1 00-20 10/29/2020 10/29/2021 AGGREGATE Cert# FWA-S-0007 12:01 AM $ 100.000.00 $ Policy#FGLSP-1 00-20 EACH OCCURRENCE $ 1,000,000.00 A Liquor Liability Cert# FWA-S-0007 10/29/2020 10/29/2021 AGGREGATE $ 2,000,000.00 12:01 AM $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101.Additional RemarksSchedule,if more space is required) POLICY DEDUCTIBLE $0.00 PER EACH BODILY INJURY OR PROPERTY DAMAGE CLAIM. Certificate Holder is An Additional Insured, But Only As Respects The Operations Of The Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Everett, its officers, employees and agents THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2930 Wetmore Ave ACCORDANCE WITH THE POLICY PROVISIONS. Everett,WA 98201 AUTHORIZED REPRESENTATIVE John Tr.. Era-icy' ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD