Stripe Rite, Inc. 6/1/2016 - Laserfiche WebLink

Client#:26674 STRIRITE ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYl'Y)4/08/2016 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 Sharnel Di Vona NAME: Propel Insurance PHONE 253.310.4047 FAX 866.577.1326 (AIC,No,Ext): (A/C,No): Tacoma Commercial Insurance o less: Sharnel.Divona@propelinsurance.com 1201 Pacific Ave,Suite 1000 INSURER(S)AFFORDING COVERAGE NAIC# Tacoma,WA 98402 INSURER A:Continental Western Ins.Co. 10804 INSURED INSURER B:Evanston Insurance Company 35378 Stripe Rite Inc. INSURER C: 1813 137th Ave E Sumner,WA 98390 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. LTR TYPE OF INSURANCE NSR WVADDL O POLICY NUMBER (MM/LODYIYEYYY) (MWDDY/YEYYY) LIMITS A GENERAL LIABILITY X X CPA6013651 04/11/2016 04/11/2017 EACH OCCURRENCE 51,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(EaEoNccu De nce) $500,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 X PD Ded:$1,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 POLICY X JECT LOC $ A AUTOMOBILE LIABILITY X X CPA6013651 04/11/2016 04/11/2017(Eo MBINdEeD SINGLE LIMIT 31,000,000 _ X ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident)AUT5 X HIRED OAUTOS X NON-OWNED —PROPERTY(DAMAGE $ AUTOS X CA0001 10113 A X UMBRELLA LIAB X OCCUR X X CPA6013651 04/11/2016 04/11/2017 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION SO $ WORKERS COMPENSATION CPA6013651 04/11/2016 04/11/2017oT RYTUM TS ERH AND EMPLOYERS'LIABILITY A OFFICER PROPRIETOR/PARTNER/EXECUTIVE EXCL ER/E ECUiIVE YIN N/A WA Stop Gap Only E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 51,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $1,000,000 B Contractor's X X 16CPLOWE00525 04/11/2016 04/11/2017 $2,000,000 CPL&TPL Pollution Liab $5,000 deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) RE:2016 Pavement Marking Project. The City of Everett is additional insured per the attached endorsement. CERTIFICATE HOLDER CANCELLATION Ci of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3200 Cedar Street ACCORDANCE WITH THE POLICY PROVISIONS. Everett,WA 98201 AUTHORIZED REPRESENTATIVE� �__ ( O 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2160526/M2160314 SXHOO