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ACLRD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 2/10/2022
<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 /> FAX
<br /> Leavitt Group Northwest (A/C.NE
<br /> Extl: (800)726-8771 (A/C,No): (866)72a-916a
<br /> PO Box 65770 E-MAIL debbie-cook@leavitt.com
<br /> ADDRESS:
<br /> INSURER(S) AFFORDING COVERAGE NAIC#
<br /> University Place WA 98464 INSURER A:Philadelphia Indemnity Insurance Compar A18058
<br /> INSURED INSURER B:
<br /> Little Red School House Inc, DBA: Childstrive INSURERC:
<br /> 906 SE Everett Mall Way STE 200 INSURERD:
<br /> INSURER E:
<br /> Everett WA 98208 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:22-23 Master 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 NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE RENTE
<br /> A CLAIMS-MADE X OCCUR PREMISESO(Ea o currence) $ 100,000
<br /> X PHPK2355023 1/23/2022 1/23/2023 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 /> PRO
<br /> POLICY
<br /> X JECT 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 PHPK2355023 1/23/2022 1/23/2023 BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> NON-OWNED PROPERTY DAMAGE $
<br /> - HIRED AUTOS - AUTOS (Per accident)
<br /> Undennsured motorist combined sir $ 1,000,000
<br /> X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 3,000,000
<br /> DED X RETENTION $ 10,000 PHUB794986 1/23/2022 1/23/2023 $
<br /> WORKERS COMPENSATION PER X OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE WA Stop Gap E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> A (Mandatory in NH) PHPK2355023 1/23/2022 1/23/2023 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 PHPK2355023 1/23/2022 1/23/2023 Aggregate$3000,000/Occurrence 1,000,000
<br /> A Directors & Officers Liability PHSD1690311 1/30/2022 1/23/2023 Aggregate 4,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I 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 /> 2 930 Wetmore St. , Suite 10A ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Everett, WA 98201
<br /> AUTHORIZED REPRESENTATIVE
<br /> Jeff Olsen/DECOOK •� O
<br /> I
<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(2o1ao1)
<br />
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