Child Strive 4/27/2016 - Laserfiche WebLink

- 1 ® DATE(MM/DD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 2/4/2016 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 Michelle Parker NAME: Leavitt Group Northwest PHO No.Ext):NE (425)258-2300 (AC.No):(425)258-9363 PO Box 9068 -MAIL SS:michelle-parker@leavitt.com ADDRE INSURER(S)AFFORDING COVERAGE NAIC# Tacoma WA 98490 INsuRERA:Philadelphia Indemnity Insurance A18058 INSURED INSURER B: Little Red School House Inc INSURERC: Dba Childstrive INSURER D: 14 E Casino Rd INSURER E: Everett WA 98208 INSURERF: COVERAGES CERTIFICATE NUMBER:2016-17 Master 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 LTR TYPE OF INSURANCE ANSA yy yp POLICY NUMBER (MM/DDY/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _$ 1,000,000 A CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES 100,000 PREMISES(Ea occurrence) X PHPK1446963 1/23/2016 1/23/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 3,000,000 _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTOS AUTOS PHPK1446963 1/23/2016 1/23/2017 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A x EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000 DED X RETENTION$ 10,000 PHOB528631 1/23/2016 1/23/2017 $ WORKERS COMPENSATION PER STATUTE X ORH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A (Mandatory in NH) E.L.EACH ACCIDENT $ 1,000,000 OFFICER/A MEMBER EXCLUDED? PHPK1446963 1/23/2016 1/23/2017 E.L.DISEASE-BA EMPLOYEE $ 1,000,000 ( If yes,describe under DESCRIPTION OF OPERATIONS below WA Stop Gap E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Professional Liablity PHPK1446963 1/23/2016 1/23/2017 3,000,000Aggreagate 1,000,000 A Directors & Officers PHSD1102043 1/23/2016 1/23/2017 4,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Everett, its officers, employees and agents are added as additional insureds as per CG 2026 attached. 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 St Suite 10A ACCORDANCE WITH THE POLICY PROVISIONS. Everett„ WA 98201 AUTHORIZED REPRESENTATIVE ,(� John Reynolds/MIPARK LD . c©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)