Sheridan Capital dba Teto's Supermarket 12/7/2020

® DATE(MM/DD/YYYY) AcoRD► CERTIFICATE OF LIABILITY INSURANCE /30/2020 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(les)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: Bry V r Ho k I sur c Ag cy WCN No.Eat): FAX No): 2199 Vill g C t r PI St # 03 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Mukiiteo A 98275 INSURER A: Scottsdale Insuna ce Co. 41297 INSURED INSURER B Sherma Capital Inc DBA:Teto's M rket an Taqueria INSURER C PO Box 429 INSURER D: INSURER E: Mountlake Terrace WA 98043 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 ADDt..zUBR POLICY NUMBER POLICY EPF POLICY EXP LIMITS LTR INSD WV!) (MMIDD/YYYY) (MMIDD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 MC DAMAGE TO DENTED100,000 CLAIMS-MADE OCCUR PREMISES(E occurr nc.) $ MED EXP(Any on person) $ 5,000 A -1 X CPS7273469 /29/2020 11/29/2021 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICYr-- LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (E amide 0 ANY AUTO BODILY INJURY(Per person) $ ALL O NED SCHEDULED BODILY INJURY(Per col ent) $ ,�.._. AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS - AUTOS (P r accidentL UMBRELLA LiAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ , $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ,EH- Y/N R ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Liquor Liability $2,000,000/$1,000,000 X CPS7273469 11/29/2020 11/29/2021 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Certificate holder is named as additional insured per form CG2011(04/13) RE:11120 Evergreen Way,Suite C Everett WA 98204 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Economic Development Department ACCORDANCE WITH THE POLICY PROVISIONS. City of Everett AUTHORIZED REPRESENTATIVE 2930 Wetmore Ave,Suite 10-A Everett WA 98201 (id'4'Z t 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD