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® DATE(MM10D/Y'lYY) ACORCI CERTIFICATE OF LIABILITY INSURANCE ilii.,,-------• 06/14/2022 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 (425)771-5197 FAX (425)673-4427 (A/C,No,Ext): (A/C,No): 10634 E Riverside Dr E-MAIL chrisday©orioninsgroup.com ADDRESS: Suite#300 INSU RER(S)AFFORDING COVERAGE NAIC# Bothell WA 98011 INSURERA: RLI Insurance INSURED INSURER B: 2812 Architecture Inc INSURER C: 2812 Colby Ave INSURER D: INSURER E Everett WA 98201 INSURER F: COVERAGES CERTIFICATE NUMBER: CL218906841 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. NOTWITHSTANDINGANY 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 ADDLTYPE OF INSURANCE INSO R POLICY NUMBER POLICY Y POLICY EXP LIMITS LTR INSD NND ( ) IMM1pDmYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE (XI OCCUR DAMAGE TO RENTED 1,000,000 PREMISES(Ea occurrence) $ X Hired Non-Owned Auto Limits MED EXP(Any one person) $ 10,000 A X Follow General Liability Y Y PSB0003093 08/16/2021 08/16/2022 PERSONAL&Aov INJURY $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X JEC ri LOC PRODUCTS-COMP/OP AGG $ 4,000,000 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 $ DED RETENTION$ $ WORKERS COMPENSATION PER 0TH- Stop Gap AND EMPLOYERS'LIABILITY STATUTE X ER Y!N 1,00O,OOD A ANY PROPRIMB RIPARTNE EDXECUTIVE [] NIA Y PS80003093 08/16/2021 08/16/2022 E.L EACH ACCIDENT $ (Mandatory EXCLUDED? 1,000,000 (Mandatory in NH) E,L DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ $2,000,000 Each cCaim $10,000 Professional Liability Claims Made A RDP0041181 09/27/2020 09/27/2022 $2,000,000 Aggregate Deductible DESCRIPTION OF OPERATIONS I LOCATIONS 1 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 ACCORDANCE WITH THE POLICY PROVISIONS. 802 E Mukilteo Boulevard AUTHORIZED REPRESENTATIVE Bldg 100 Everett WA 98201 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD