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• <br /> AC CERTIFICATE OF LIABILITY INSURANCE DATE(MWDEVYYYYI <br /> '*------- 10/13/2020 <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 /> IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(tes)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(sl. <br /> PRODUCER NAME`'' Jeck Dineros _ <br /> 13UK Insurance Agency[LC H� alo o,Exq. 425-242.5252 YjNC_No). 425 9481755 <br /> 1500 Benson Road South Ste 201 ADD ss InfC Idokagency.corn <br /> INSURERIS)AFFORDING COVERAGE i HAIG I <br /> Renton _ WA 98055 INSURER A: Northtield Insurance Company 27987 <br /> INSURED INSURER B <br /> MERSI NI ENTERPRISES LLC INSURER C: <br /> 4218 NE 9th Cir INSURER 0: <br /> INSURER E E. <br /> Renton WA 980594570 INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 tM-ItCH 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 /> , r. _ <br /> LTR TYPE OF INSURANCE ;INSO WWI• POLICY NUMBER IYM.DOPrYYYI I IMMiDorryYYI LIMITS <br /> X COMMERCIAL GENERALLtABIUTY ' EACH OCCURRENCE S 31,000,00E <br /> i CLAIMS-MADE OCCUR ! PRE E M'SES ao:.c.urence' 1 S 3100.000---- — <br /> = I MED EXP IAny c.- per,cnt I S 15,000 <br /> A ��_...r. Y ' Y WS426640 j 08/28/2020 08,128,2021 i PERSONALS.ACV INJURY •S t 1,000,000 <br /> ,GEN! AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S t 2,000,000 <br /> X' POLICY' .JE i X I LOC I PRoUl1[:;h COMP/OP AGG S Z 2,000.0011 <br /> OTHER S <br /> AUTOMOBILE LIABILITY i Li buI LDS\GI LB,' . s <br /> 'En arc:den;, <br /> - <br /> ANY AUTO nur IN,.URY:P,r perea,? -e - --. <br /> "ALL OWNED ,'��SCHEDULED Ropily INJURY'pc,acude,;; 5 <br /> AUTOS Auros <br /> HIRED AUTOS NON•OWNED P-ROPFRT4';S:d 1,E"`.'_._ S <br /> AUTOS I 'IPtf a,.'ce-':' <br /> S <br /> UMBRELLA LIAB OCCUR CACn OCCURRENCE S <br /> EXCESS LlAB C AIMS!.1ADE AGGREGATE $ <br /> —~Ii I ,RETENTION S r- S <br /> I WORKERS COMPENSATION "I-R -vTli- <br /> AND EMPLOYERS'LIABILITY Y 7 N' I-- :S1AI'1TF ( FR -- , _ <br /> :•N�FACER_TCR FAR[NERIEXECUTIVE I—� ,L L EACH ACCIDFNI $ <br /> OFF CEPNLYBE R EXCLI CEO" N•`A '--- -- <br /> I tMancLeory m NH) I �' ; E L DISEASE-EA EMPLOYEE $---_ _ - <br /> O) U.HIP 11:.N r�i L�CRATIC>:'3I:r En., _ j 'E, DISEASE-POLICY LIMIT S <br /> I <br /> DESCRIPTION OF OPERATIONSI LOCATIONS?VEHICLES I,ACORD 101.Addlnonal Remarks Schedule,may be coached If more space Is required) <br /> Certificate holder is additional insured. <br /> 1 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEECH <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of EverettACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Avenue <br /> AUTHORIZED REPRESENTATIVE <br /> Everett WA 98201 rmtezf R•tex s,/ <br /> D 1988-2014 ACORD CORPORATION. All tights rose <br /> ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD <br />