Wolverine West, LLC 6/15/2016 - Laserfiche WebLink

AWRD® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/4/2016 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 NAME: The Partners Group Ltd (A/c°.No.Exs):425 455 5640 (A/ c,No):425-455-6727 11225 SE 6th St., Suite 110 E-MAIL Bellevue WA 98004 ADDREss:rjessen@tpgrp.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:T.H.E. Insurance Company 12866 INSURED 15539 INSURER B: Wolverine West, LLC INSURER C: Wolverine West Fireworks INSURER D: PO Box 628 Chehalis WA 98532 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:230177664 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 INSR DDL SWUBR POLICY EFF POLICY EXP NSR VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS ' A GENERAL LIABILITY Y CPP010545600 5/1/2016 5/1/2017 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $N/A PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE _ $N/A GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG_ $2,000,000 7 POLICY PRO- JECT 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) A UMBRELLA LIAB OCCUR ELP001218200 5/1/2016 5/1/2017 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED RETENTION$ $ WORKERS COMPENSATION WC STATU- 0TH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Everett Aqua Sox Baseball Club; Everett School District#2; 7th Inning Stretch, LLC its agents, employees and officers,ATIMA; City of Everett are Additional Insured as respects the 6/24/16, 7/4/16, 7/9/16, 8/5/16, 8/13/16, 8/19/16, 8/27/16, 9/3/16 Aerial Fireworks Displays located at Everett Memorial Stadium, Everett, WA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2390 Wetmore ACCORDANCE WITH THE POLICY PROVISIONS. Everett WA 98201 AUTHORIZED REPRESENTATIVE i ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD