Skyhawks Sports Academy 4/23/2021

Ac Ro® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/31/2021 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(ies)must have ADDITIONAL INSURED provisions or 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 Roach, Howard, Smith and Barton PHON: Jo Watson E 8750 N. Central Expressway (A/C.No. (972) 744-2772 (AA/C,No):(972) 744-2872 Suite 500 AAIL DDRESS: jwatson®rhsb.com Dallas TX 75231 INSURER(S)AFFORDING COVERAGE NAIC#_ INSURER A:Vantapro Specialty Insurance C 44768 INSURED Skyhawks Sports Academy, LLC INSURER S:Allied World Insurance Company 22730 INSURER C:Chubb Indemnity Co 12777 1826 E. Sprague Avenue INSURERD: Spokane WA 99202 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 51695 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INS() WVD POLICY NUMBER LIMITS (MM/DD/YYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR 5075218902 03/31/2021 03/31/2022 PREMISES(Ea occurrence) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY I PRO- JECT LOC PRODUCTS-COMP/OP AGG S 3,000,000 OTHER: Abuse/Molestation $ 1,000,000 AUTOMOBILEUABIUTY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 A ANY AUTO 5079003402 03/31/2021 03/31/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE %AUTOS ONLY X AUTOS ONLY (Per acddent) $ B X UMBRELLA!JAB X OCCUR 5078027302 03/31/2021 03/31/2022 EACH OCCURRENCE $ 5,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTIONS $ WORKERS COMPENSATION PER OTH- C AND EMPLOYERS'LIABILITY Y/N 71754023 03/31/2021 03/31/2022 X STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NI N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 $ $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) General and auto liability policies include blanket automatic additional insured endorsement or provision that provides additional insured status to any person or organization the Named Insured is required by written contract to add as an additional insured. General Liability policy includes Primary and Non-Contributory status in favor of Additional Insureds when there is a written contract or agreement requiring such status. General and workers compensation/employers liability policies include blanket automatic waiver of subrogation endorsement or provision that provides this feature to any person or organization the Named Insured is required by written contract to provide a waiver of subrogation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Everett, its officers, agents and employee 8811 Airport Road AUTHORIZED REPRESENTATIVE Basch Park Athletic Office Everett WA 98204 t V 1' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1