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i•� ESTASAL-01 HERBEI <br /> ACORL> DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE I2/28D2020 <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(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER License#0564249 i%aNACT <br /> Heffernan Insurance Brokers M <br /> 1350 Carlback Avenue Ia�cNro,E>d�:(925)934-8500 I FAX No):(925)934-8278 <br /> Walnut Creek,CA 94596 toss: <br /> INSURERS)AFFORDING COVERAGE NAIC# <br /> INSURER A:Ohio Security Insurance Company 24082 <br /> INSURED INSURER B____ <br /> estates Sales PNW LLC INSURERC: <br /> 10011 33rd Ave SE.Unit B INSURERD: <br /> Everett,WA 98208 <br /> INSURER E_.__--- <br /> 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 WHICH 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 /> INSR IADDL SUBR POLICY EFF POLICY EXP — — <br /> LIR TYPE OF INSURANCE INSD I W't POLICY NUMBER IMMIDD/YYYY1 (MM/DDIYYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCETE <br /> $ 1,000,000 <br /> CLAIMS-MADE X OCCUR X BLS 62548891 12/28/2020 12/28/2021 pREMISEs IEaEarrence) $ _1,000,000 <br /> MEDEXP(Any one person) $ 15,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $__ 2,000,000 <br /> X POLICY JE[2Q L--J LOC PRODUCTS AGG $ 2,000,000 <br /> OTHER: c� $ <br /> AUTOMOBILECOMBINED SINGLE LIMIT <br /> LIABILITY <br /> (Ea accid_gnt)-- $_ <br /> ANY AUTO BODILY INJURY(Person) $ <br /> OWNED SCHEDULED <br /> AUTOSRE� ONLY AUTOS BODILY <br /> p BODILY INJURY per accident) $ _ <br /> AUTOS ONLY AUOTOS O�Y PROPERTY accident)DAMAGE — $ <br /> $ <br /> UMBRELLA LIAB OCCUR _EACH OCCURRENCE _ $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION <br /> R OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY <br /> ICERO/M IIE TOORR EXCLUDED?ECUTIVE �� N/A E.L.EACH ACCIDENT <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ _ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> As required by contract,City of Everett,its officers,employees and agents are included as additional insured on the General Liability policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. WILL BE DELIVERED IN <br /> 2930 Wetmore Ave Suite 10A <br /> Everett,WA 98201 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />