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SKYHSPO-02 LSCALES <br /> ACOREY CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) <br /> �-� 2116/2016 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> Moloney O'NeIIIIAIliant Insurance Services Inc. PHONE 508 325-3024 FAX <br /> 818 W.Riverside,Ste 800 Arc No.Exxt):% I (AIC,No): <br /> Spokane,WA 99201 ADDARESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC II <br /> INSURER A:Philadelphia Indemnity Insurance Company 18058 <br /> INSURED <br /> INSURER B <br /> Skyhawks Sports Academy,Inc. INSURERC: <br /> 9425 N Nevada St,#210 INSURER D: <br /> Spokane,WA 99218 INSURERS: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:WA REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> /LTR TYPE OF INSURANCE AD3T R DLPOLICY EFF POLICY EXP <br /> INSD WVD POLICY NUMBER ,(MMIDDNYYY) (MMIDDNYYY) UPMTS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR X PHPK1453690 02/08/2016 02108/2017 DAMAGETO RENTED 300,000_ <br /> PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ Excluded <br /> PERSONAL&ADV INJURY _ $ 1,000,000 '. <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3.000,000 <br /> X POLICY JECT LOC PRODUCTS•COMP/OP AGG $ 3,000,000 <br /> OTHER: ABUSE/MOLESTATI $ 1,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> A X ANY AUTO PHPK1453690 02/08/2016 02/08/2017 BODILY INJURY(Per person) S <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> _ A -OWNED PROPERTY <br /> GE $HIRED AUTOS AUTOS <br /> Prccidet _ . <br /> $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 <br /> A EXCESS LIAB CLAIMS-MADE PHUB530288 02/08/2016 02(08/2017 AGGREGATE $ 5,000,000 <br /> DED X RETENTIONS 10,000 $ <br /> WORKERS COMPENSATION PER 0TH• <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N 1 A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $ <br /> If yes,describe under - <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> The City of Everett Its Officers,Agents,and Employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> The Cory Everett <br /> It ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn802 Mukilteo Blvd <br /> Everett,WA 98203 AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />