2812 Architecture 7/12/2021 - Laserfiche WebLink

DATE(MM/DD/YYYY) ACORU CERTIFICATE OF LIABILITY INSURANCE 05/04/2021 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 Christopher Day NAME: Orion Insurance Group PHONE EM). (425)771-5197 FAX No). (425)673-4427 10634 E Riverside Dr E-MAIL chrisday@orioninsgroup.com ADDRESS: Suite#300 INSURER(S)AFFORDING COVERAGE NAIC# Bothell WA 98011 INSURER A: RLI Insurance 13056 INSURED INSURER B: 2812 Architecture Inc INSURER C 2812 Colby Ave INSURER D: INSURER E Everett WA 98201 INSURER F: COVERAGES CERTIFICATE NUMBER: CL20101505683 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 ADDLSUBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAGE S 2,000,000 RENT CLAIMS-MADE X OCCUR PREM SESO(Ea occuE ence) $ 1,000,000 X Hired non-owned Auto Limits MED EXP(Any one person) $ 10,000 A X Follow General Liability Y Y PSB0003093 08/16/2020 08/16/2021 PERSONAL&ADJ INJURY $ 2,000,000 GEN'L AGGREGATE'yl--ATE777 LIMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000 POLICY PRO- LOC PRODUCTS-COMP!'OPAGG S 4,000,000 15 1 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED - SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY - AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION$ S WORKERS COMPENSATION ;MUTE EMPLOYERS'LIABILITY Y/N STATUTE X ER A ANY PROPRIETOR/PARTNER/EXECUTIVE N 1 A Y PS60003093 08116/2020 08/16/2021 E L.EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S , $2,000,000 Each Claim $10,000 Professional Liability Claims Made A Y RDP0041181 09/27/2020 09/27/2022 $2,000,000 Aggregate Deductible DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All required parties are listed as additional insureds with primary and non contributory wording as well as a waiver of subrogation in their favor for the general liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Everett Facilities Administration ACCORDANCE WITH THE POLICY PROVISIONS. 802 East Mukilteo Blvd., AUTHORIZED REPRESENTATIVE Bldg.100 Everett WA 98203 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD