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A�I® CERTIFICATE OF LIABILITY INSURANCE DATE
<br /> T (M /2021Y)
<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 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(s).
<br /> PRODUCER CONTACT Debbie Cook
<br /> NAME:
<br /> Leavitt Group Northwest PHONE (800)726-8771 FAX (866)726-9166
<br /> (NC,No.Ext): (A/C,No):
<br /> PO Box 65770 E-MAIL ADDRESS: debbie-cook@leavitt.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> University Place WA 98464 INsuRERA:Philadelphia Indemnity Insurance Compar A18058
<br /> INSURED
<br /> INSURER B
<br /> Little Red School House inc, DEA: Childstrive INSURER C:
<br /> 906 SE Everett Mall Way STE 200 INSURERD:
<br /> INSURER E:
<br /> Everett WA 98208 INSURERF:
<br /> COVERAGES CERTIFICATE NUMBER:21-22 GL/AL/UM/PROF/DO 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSR WVD POLICY NUMBER ,MMIDD/YYYY) JMM/DDIYYYY)
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> A CLAIMS-MADE X OCCUR DAMAGETO RENTED
<br /> PREMISES(Ea occurrence) $ 100,000
<br /> X PHPK2230069 1/23/2021 1/23/2022 MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000
<br /> X POLICY PET LOC PRODUCTS-COMP/OPAGG $ 3,000,000
<br /> OTHER: Sexual/Physical Abuse Aggregate $ 1,000,000
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> A X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED 'SCHEDULED PHPK2230069 1/23/2021 1/23/2022 BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS _,
<br /> NON-OWNED PROPERTY DAMAGE $
<br /> HIRED AUTOS AUTOS (Per accident)
<br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> EXCESS LIAR
<br /> A CLAIMS-MADE AGGREGATE $ 3,000,000
<br /> DED X RETENTION$ 10,000 PH0a754172 1/23/2021 1/23/2022 $
<br /> WORKERS COMPENSATION PER X OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE WA Stop Gap E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N I A
<br /> A (Mandatory in NH) PHPK2230069 1/23/2021 1/23/2022 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> A Professional Liability PRPK2230069 1/23/2021 1/23/2022 Aggregate$3,000,000/Occurrence $1,000,000
<br /> A Directors & Officers Liability PHSD1608458 2/6/2021 1/23/2022 Aggregate $4,000,000
<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, employees and agents are added as additional insureds as per CG 2026 0413
<br /> attached.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Everett THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
<br /> 2930 Wetmore St. , Suite 10A ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Everett, WA 98201
<br /> AUTHORIZED REPRESENTATIVE
<br /> II Jeff Olsen/TRFUQU •/ O
<br /> ©1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
<br /> INS025(zo14o1)
<br />
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