Schack Art Center 8/8/2016 - Laserfiche WebLink

ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/25/2016 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 CL Central NAME: Leavitt Group Northwest PHONE HON p,Exp: 866.298.0570 FAX No):866.688.5709 PO Box 9068 E-MAIL ADDRESS:cicnorthwest@leavitt.com INSURER(S)AFFORDING COVERAGE NAIC# Tacoma WA 98490 INSURERA:West American Insurance Company 44393 INSURED INSURERB:American Fire & Casualty Company 24066 Arts Council of Snohomish County INsuRERc:United States Liability Insurance 25. 8.9.5 DBA Schack Art Center INSURER D: 2 921 Hoyt Ave INSURER E: Everett WA 98201 INSURERF: _ COVERAGES CERTIFICATE NUMBER:16.17 Pkg 15.16 DO 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ A i CLAIMS-MADE X OCCUR DAMAGE TO RENTED 1,000,000 PREMISES(Ea occurrence) $ X BKW56987402 3/6/2016 3/6/2017 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- X LOC2,000,000 JECT PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BAA56987402 3/6/2016 3/6/2017 BODILY INJURY(Perid $ AUTOS AUTOS accent) NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) - $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS UAB CLAIMS-MADE II AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N _ STATUTE X ER. . ANY PROPRIETOR/PARTNER/EXECUTIVE - WA Stop Gap E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER A (Mandatory EXCLUDED? N/A BKW56987402 3/6/2016 3/6/2017 ( rY ) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 C Directors & Officers ND01559513B 9/1/2015 9/1/2016 Per Claim 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Parking Lot use August 21-22, 2016 City of Everett, its officers, employees and agents are named additional insured with respects to general liability as per written contract with the named insured form CG88100413. 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 2930 Wetmore, Suite 8A ACCORDANCE WITH THE POLICY PROVISIONS. Everett, WA 98201 AUTHORIZED REPRESENTATIVE D zcTrammell/DITRAM ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD IMCf c nnl nm,