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6725 WILLOW RD 2022-10-14
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6725 WILLOW RD 2022-10-14
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Last modified
10/14/2022 10:28:45 AM
Creation date
10/4/2022 10:21:05 AM
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Address Document
Street Name
WILLOW RD
Street Number
6725
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Jrtu ritrl 54LO 5Gj41 JNU-VMLLtY rAKr%J INI, trrtLi IVt: VL/VI/LUIO rKULtbbtU: Vj/Ly/LUIO <br /> Since 1894 OREGON MUTUAL INSURANCE COMPANY LOSS PAYEE COPY <br /> 0 • CERTIFICATE OF INSURANCE <br /> ISSUE DATE: 03/29/201 8 <br /> INSURED AGENT 01763 <br /> SNO-VALLEY FARMS INC GUIDE INSURANCE SERVICES, INC. <br /> SEE M2366 8108 GUIDE MERIDIAN RD. <br /> 7230 89TH ST SE Po BOX 473 <br /> SNOHOMISH, WA 98290 LYNDEN, WA 98264 <br /> COVERAGES DISCLAIMER <br /> This is to certify that the policies listed below have been issued to the insured The Certificate of Insurance does not constitute a contract between <br /> named above for the policy period indicated. Notwithstanding any requirement, the issuing insurer(s),authorized representative or producer,and <br /> term,or condition of any contract or other document with respect to which this the certificate holder,nor does it affirmatively or negatively amend, <br /> certificate may be issued or may pertain,the insurance afforded by the policies extend or alter the coverage afforded by the policies listed thereon. <br /> described herein is subject to all the terms,exclusions,and conditions of such <br /> policies. The limits shown may have been reduced by paid claims. <br /> Type of Insurance Policy Number Effective Date Expiration Date Limits of Insurance <br /> FARM LIABILITY SMO 5426556341 02/01/2018 02/01/2019 General Aggregate $ 2,000,000 <br /> Each Occurance $ 1 ,000,000 <br /> Personal&Advertising Injury $ 1 ,000,000 <br /> Medical Expense-Per Person $ 5,000 <br /> Fire Legal Liability-Any One Fire $ ' 100,000 <br /> $ <br /> Automobile Liability Combined Single Limit(ea accident) $ <br /> Bodily Injury(per person) $ <br /> Bodily Injury(per accident) $ <br /> Property Damage(per accident) $ <br /> Garage Liability Auto Only(ea accident) $ <br /> Other than Auto Only(ea accident) $ <br /> Other than Auto Only(aggregate) $ <br /> Commercial Property Deductible: $ <br /> $ <br /> Other <br /> $ <br /> Description of Operations/Locations/Special Items IMPORTANT <br /> If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must <br /> be endorsed. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> LOC 022 SEC. 4/5, TWP. 28N, RGE. 5E If SUBROGATION IS WAIVED,subject to the terms and conditions of the <br /> ,SNOHOM I SH,WA 98290 policy,certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such <br /> endorsement(s). <br /> CERTIFICATEHOLDER CANCELLATION <br /> Should any of the above described policies be cancelled before the expiration <br /> CITY OF EVERETT date thereof,the company will ENDEAVOR TO MAIL 30 DAYS <br /> REAL PROPERTY MANAGER written notice to the certificateholder named to the left,but failure to mail such <br /> 3200 CEDAR ST notice shall impose no obligation or liability of any kind upon the company,its <br /> EVERETT WA 98201 agents or representatives. <br /> AUTH IZED REPRESENTATIVE <br /> .2/7/2L (52< / e.) <br /> M3221 (12-04) <br />
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