1202 100TH CT SE 2024-03-08 - Laserfiche WebLink

�:.-� KARLN-1 OP ID:ER ►corm CERTIFICATE OF LIABILITY INSURANCE DATE(M 04/25/20YYY) /2016 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 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 Schroder Insurance Services Schroder Insurance Services Lic#0E97553 (RICNo.E,t):925-934-6789 FAX No):925-934-0189 1410 North Main Street E-MAIL Walnut Creek,CA 94596 ADDRESS: Schroder Insurance Services INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Scottsdale Insurance Company INSURED KARL NEEDHAM ENTERPRISES INSURER B:AGCS MARINE INS CO 4901 A East Mariposa Road Stockton,CA 95215 INSURER C: INSURER D: 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 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 TYPE OF INSURANCE INSD DDL sUER WVD POLICY NUMBER (MM/DD/YY YYY) (MM/DD/Yl EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X CPS2236404 06/04/2015 06/04/2016 DAMAGE TO RENTED 100 000 PREMISES(Ea occurrence) $ � MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ _ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B EQUIPMENT FLOATER SML93069283 10/15/2015 10/15/2016 LIMIT** 5,000 MISC.EQUIPMENT DEDUCT. 1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) THE CITY OF EVERETT AND ITS OFFICERS,ELECTED OFFICIALS EMPLOYEES AGENTS AND VOLUNTEERS ARE NAMED ADDITIONAL INSURED AS RESPECTS WORK DONE BY THE NAMED INSURED. COVERAGE TO THE CITY OF EVERETT AND ITS OFFICERS,ELECTED OFFICIALS,EMPLOYEES AGENTS AND VOLUNTEERS IS PRIMARY AND NON-CONTRIBUTORY. ENDORSEMENTS CG2038 0413 AND CG 2001 0413 AND CG2404 05-09 ATTACHED. CERTIFICATE HOLDER CANCELLATION EVERETT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF EVERETT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: CHRIS CHESSON ACCORDANCE WITH THE POLICY PROVISIONS. 3200 CEDAR STREET AUTHORIZED REPRESENTATIVE EVERETT,WA 98201 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD