Hydrololgy Stand Up Paddle 5/5/2021

I uoATpc) ACORD HYDRSTA-01 HPATRO `-.-- DATE(MWD©YYYYI CERTIFICATE OF LIABILITY INSURANCE 5r29r2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATEW DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO . THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is an ADDITIONAL INSURED,the polio 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 endorsements . PRODUCER CONTACT Hub International Northwest LLC NAM_ PO Box 3018 I PHO 485-8489 Bothell,WA 98041 (AJC,NNEo,Ect):(425)489-4500 (A/c,No):425( ) Miss:now.info@hubinternational,com _— • INSURER(S)AFFORDING COVERAGE NAB INSURER Scottsdale Insurance Company 41297 INSURED -- INSURER 8: Hydrology Stand Up Paddle,LLC INSURER C: 4816 College Ave INSURER D: Everett,WA 98203 INSURER E: - 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 I -- — LTR I TYPE OF INSURANCE ADOL SUER POLICY EFF POLICY EXP LIMIT 1,000,000 • INSD WVD POLICY NUMBER (MMIOD/YYYY) IMM/DLYYYYY) A X COMMERCIAL GENERAL LIABILITY ; l X I OCCUR X ISE DAMAGE OCCURRENCE ENTED : 100,000 CPS3341488 6/10/2020 6110/2021 PREMS..(Ea occurrence) s 5,000 r CLAIMS-MADE MED EXP(Any one person) s i PERSONAL&ADV INJURY $ 1,000,000 2,000,000 _GENTAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY flea_ I LOG (SPRODUCTS-TOP GAP COMP/OP AGG i 1,000,000 _ OTHER! $ COMBINED SINGLE LIMIT s k AUTOMOBILE LIABILITY (Ea accident) - — ,�Jj __ ANY AUTO BODILY INJURY(Per person) 1$ _- j, OWNED SCHEDULED BODILY INJURY(Per accident s AUTOS ONLY _ AUTOS {�NEp PROPERTY DAMAGE AUTOS ONLY AUUTOS ONLY (Per accident) I$ .i }, UMBRELLA LIAB ` OCCUR ' EACH Or'rURRENCE I$ EXCESS UAB CLAIMS-MADE AGGREGATE —_-- — DED RETENTION S— WORKERS COMPENSATION STPATUTE I I ER AND EMPLOYERS'LIABILITY YIN EL EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE — OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ '� 1 If yes,describe under E.L.DISEASE-POLICY LIMIT, s .f I DESCRIPTION OF OPERATIONS below _ T i I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:Project Service Agreement The City Of Everett,Its Officers,Agents And Employees are included as Additional Insured per the attached forms/endorsements. 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 Parks&Recreation 802 MUKILTEO BLVD Everett,WA 98203 AUTHORIZED REPRESENTATIVE ®1988-2015 ACORD CORPORATION. All rights reserved- ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD