Snohomish County Legal Services 10/21/2021

' DATE TE(MMI CERTIFICATE OF LIABILITY INSURANCE 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 be endorsed.If SUBROGATIONIS 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 NAME: LEAVITT GROUP NORTHWEST PHONE (425)256-2300 fAX (425)258-9363 52313305 (A/C,No,Ext): (A/C,No): 201 AUBURN WAY N SUITE C EMAIL ADDRESS: AUBURN WA 98002 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Sentinel insurance Company Ltd. 11000 INSURED INSURERS: SNOHOMISH COUNTY LEGAL SERVICES INSURERC: 2731 WETMORE AVE STE 410 EVERETT WA 98201-3581 INSURERS: 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 Wf H 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' TYPE OF INSURANCE ADDL SUER. POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD tMNdDDNYYYI (MMIDD/YYYY) COMMERCIAL GENERAL I ERALLIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE€X OCCUR DAMAGE TO RENTED $1,000,000 PREMISES(Ea occurrence) X General Liability MED EXP(Any one person) $10,000 A X 52 SBA AC4585 03101/2021 03/01/2022 PERSONAL&ADV INJURY $1,000,000 GENt AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO- X LOC PRODUCTS-COMP/OP AGG $2,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000° (Ea acciderril ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED A AI 52 SBA AC4585 D3101/2021 03/01/2022 BODILY INJURY(Per accident) _ _ HIRED AUTOS NON-OWNED PROPERTY DAMAGE X AUTOS X AUTOS (Per accident) UMBRELLA LIAS OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS' AGGREGATE MADE DED RETENTION$ • WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE , ER _ ANY YIN EL EACH ACCIDENT PROPRETORIPARTNEWE(ECUTIVE OFFICER/MEMBER EXCLUDED? iI EL DISEASE-EA EMPLOYEE (Mandatory in NH) it yes,describe under E.L.DISEASE-POLICY LIMIT 'DESCRIPTION OF OPERATIONS below A DATA BREACH-BUS INC&EX 52 SBA AC4585 : 03/01/2021 03/01/2022 Limit $10,000 EXP DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORO 161,Additional Remarks Schedule,may be attached if more space is required) Those usual to the insured's Operations.City of Everett,its officers,employees and agents are an additional insured per the Business Liability Coverage Form 550008,attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY F City of Everett THE ABOVE DESCRIBED POLICIES BE CANCELLED 2930 WETMORE AVE BEFORE THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED EVERETT WA 98201-4067 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-2015 ACORD CORPORATION.AU rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD