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-�—.IN CANDMON-01 KHANSEN ACORO CERTIFICATE OF LIABILITY INSURANCE DATE{MMIDDIYYYY) 41....- 11/2/2020 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 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). PRODUCER I CONTACT Karen Hansen NAME WAFD Insurance Group,Inc. Thomas and Associates (vONNo,Ext).(360)629-2103 (A/C,No)(360)629-9702 PO Box 457 E-DDREMAILSS:karen@thomasins.com A Stanwood,WA 98292 ___ _ INSURER(S)AFFORDING COVERAGE-_ _ ______ NAIC# _ INSURER CNA Insurance Company INSURED ' INSURER B. �_-_ -- --------- ------- - - - --- Candy Monkey,Inc. I_INSURERC 1414 12th Street INSURER D' Everett,WA 98201 , INSURER E' INSURER F. - -- --- -------- --- ---- i 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 '�ADDLSUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD,WVD' POLICY NUMBER (MM/D D/YYY J MM/D DIYYYY) LIMITS A X I COMMERCIAL GENERAL LIABILITY _ 2,000,000 5094632885 9/25/2020 9/25/2021 EACH OCCURRENCE - $ - CLAIMS-MADE I X OCCUR DAMAGE TO RENTED 300�000 X DEMISES Ea occurrence ;$ MED EXP(Any one person) $ ___ 10,000 'L-- - - , PERSONAL&ADV INJURY % $ 2,000,000 GE_N'L AGGREGATE_ _ LIMIT APPLIES PER _GENERAL AGGREGATE _$ 4,000,000 F X POLICY PE LOC HPRODUCTS-COMP/OP AGG $ 4°6060006 — ------- OTHER I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ --- _jEa accident)__ - 1 ANY AUTO BODILY INJURY(Perperson) $ r I OWNED I-1 SCHEDULED i I AUTOS ONLY AUTOS BODILY INJURYSPer accident)-$ -__-- '1__I HIRED I NON-OWNED PROPERTY DAMAGE AUTOS ONLY IH �AUTOS ONLY I ;(Per accident) $ $ II UMBRELLA LIAB f OCCUR EACH OCCURRENCE t i- I �-- — ------- I - EXCESS LIAB ' CLAIMS-MADE ! II AGGREGATE I$ A I RETENTION$ $ WORKERS COMPENSATION STATUTE XJERH AND EMPLOYERS'LIABILITY ----- Y/N 15094632885 11 9/25/2020 , 9/25/2021 I 300,000 ANY PROPRIETOR/PARTNER/EXECUTIVE 1 E L EACH H ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A 300 000 DESCRIPTION OF OPERATIONS below 1 E L DISEASE-POLICY LIMIT I$ ( rY NH) E L DISEASE-EA EMPLOYEE_ I If yes,describe under 600,000 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Employers Liability-WA Stop Gap Endorsement The City of Everett,its officers,employees,and agents are additional insureds per the attached SB146932F(6-16)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 POLICY PROVISIONS. 2930 Wetmore Ave,Suite 10A Everett,WA 98201 AUTHORIZED REPRESENTATIVE -1 i' I/ N ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD