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A�o® CERTIFICATE OF LIABILITY INSURANCE DATE(MrrIDDrYYYY) <br /> 03/10/2021 <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 /> _,-, CSNTACT Cami Dennis �„ <br /> NAME: <br /> TRC Insurance PHONE (877)637-1858 FAX (425)818-2950 <br /> (A/C.No.Ext1: (A/C,No): <br /> 12015 115th Ave NE ADitAIL DRESS: camiktrcisu.com <br /> Suite 240 INSURER(S)AFFORDING COVERAGE NAIC/I <br /> Kirkland WA 98034 INSURER A: American Alternative Insurance Corp <br /> INSURED <br /> INSURER 6 <br /> Hand In Hand INSURER C: <br /> 9502 19th Ave SE Ste E INSURER D: <br /> INSURER E: <br /> Everett WA 98208 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 20/21 GUAUEUPUAbuse 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 ADM r,.' POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE XI OCCUR PRDEMISES SES(EaGE TOEMoccurrence) $ 1,000,000 <br /> MED EXP(Any one person) $ 15,000 <br /> A Y 99A2CP0003717-04 10/01/2020 10/01/2021 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 <br /> )1 POLICY I-I JET LOC PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> I OTHER: $ <br /> AUTOMOBILE L ABKJTv COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> A OWNED X SCHEDULED 99A2CA0003971-04 10/01/2020 10/01/2021 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY * AUTOS ONLY (Per accident) <br /> $ <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE $ <br /> '^ <br /> EXCESS UAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- WA Stop Gap ONLY <br /> AND EMPLOYERS'UABIUTY YIN STATUTE ER <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 99A2CP0003717-04 10/01/2020 10/01/2021 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> if yes,describe under 1000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , <br /> Per Incident $1,000,000 <br /> Professional Liability <br /> A Abuse&Molestation 99A2CP0003717-04 10/01/2020 10/01/2021 Aggregate $3,000,000 <br /> Deductible $1,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> City of Everett,its officers,emplcees and agents are additional insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Everett;Dept of Planning&Community ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Development <br /> 2930 Wetmore Ave Ste.8A AUTHORIZED REPRESENTATIVE <br /> Everett WA 98201-4044 •�. <br /> I <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD <br />