Icon Enterprises Inc. dba CivicPlus 6/17/2016

DATE(MM/DD/YYYY) ACERTIFICATE OF LIABILITY INSURANCE 12/3/2014 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 Brooke Steiner NAME: Charlson-Wilson Insurance (A/C,No Extl: (785)537-1600 FAX (A/C,No): (785)537-1657 555 Poyntz Avenue, Suite 205 E-MAIL bsteiner@charlsonwilson.com ADDRESS: P.O. Box 1989 INSURER(S)AFFORDING COVERAGE NAIC# Manhattan KS 66505-1989 INsuRERA:Sentinel Insurance Company,LTD 11000 INSURED INSURERB:TW.ln City Fire Insurance Co. 29459 ICON ENTERPRISES INC D/B/A NETWORK PLUS AND INsuRERc:Hartford Fire Insurance Co. 19682 CIVICPLUS INSURER D: 302 S. 4th Street, Ste 500 INSURERE: MANHATTAN KS 66502 INSURERF: COVERAGES CERTIFICATE NUMBER:2014-15 Master Cert 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 ADDL SUBR POLICY EFF POLICY EXP LTRINSR WVD POLICY NUMBER (MM/DDYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PaEcTED 1,000,000 PRREMISEMISES( RENTED occurrence) $ A CLAIMS-MADE X OCCUR X 37SBAAM8566 5/17/2014 5/17/2015 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 71 POLICY n JECT PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED 37UECTZ7974 5/17/2014 5/17/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) PIP-Basic $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION , WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA 37WECPA9652 5/17/2014 5/17/2015 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Technology E&O 00 TE 0277079-14 1/1/2014 1/1/2015 Each Glitch Limit $3,000,000 Claims Made Re tr oActiveDate:7/31/2006 Aggregate Limit $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Everett is listed as additional insured with respects to the general liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Everett 2930 Westmore Avenue Everett, WA 98201 AUTHORIZED REPRESENTATIVE Brooke Steiner/TAL �'� "� ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r7mnn6:m TheA(`(1Rr1 name and Innn aro ronictorori mark of A(C)Rr1