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JPIU rKPt ','4V055034I JNU—VHLLtY rHKI`1J !NU trrtl.I Ivt: U5/UI/LU10 rrul.tJJtu: U14/UO/LU10 <br /> A <br /> Since 1894 OREGON MUTUAL INSURANCE COMPANY LOSS PAYEE COPY <br /> • CERTIFICATE OF INSURANCE <br /> ISSUE DATE: 014/06/2016 <br /> INSURED AGENT 01763 <br /> SNO—VALLEY FARMS INC GUIDE INSURANCE SERVICES, INC. <br /> SEE M2366 8108 GUIDE MERIDIAN RD. <br /> 7230 89TH ST SE PO BOX 473 <br /> SNOHOMISH, WA 98290 LYNDEN, WA 98264 <br /> COVERAGES DISCLAIMER <br /> This is to certify that the policies listed below have been issued to the insured The Certificate of Insurance does not constitute a contract between <br /> named above for the policy period indicated. Notwithstanding any requirement, the issuing insurer(s),authorized representative or producer,and <br /> term,or condition of any contract or other document with respect to which this the certificate holder,nor does it affirmatively or negatively amend, <br /> certificate may be issued or may pertain,the insurance afforded by the policies extend or alter the coverage afforded by the policies listed thereon. <br /> described herein is subject to all the terms,exclusions,and conditions of such <br /> policies. The limits shown may have been reduced by paid claims. <br /> Type of Insurance Policy Number Effective Date Expiration Date Limits of Insurance <br /> F ARM LIABILITY SMO 5406556341 03/01/2016 02/01/2017 General Aggregate $ 2,000,000 <br /> Each Occurance $ 1 ,000,000 <br /> Personal&Advertising Injury $ 1 ,000,000 <br /> Medical Expense-Per Person $ 5,000 <br /> Fire Legal Liability-Any One Fire $ 100,000 <br /> Automobile Liability Combined Single Limit(ea accident) $ <br /> Bodily Injury(per person) $ <br /> Bodily Injury(per accident) $ <br /> Property Damage(per accident) $ <br /> • <br /> Garage Liability Auto Only(ea accident) $ <br /> Other than Auto Only(ea accident) $ <br /> Other than Auto Only(aggregate) $ <br /> Commercial Property Deductible: $ <br /> Other <br /> Description of Operations/Locations/Special Items IMPORTANT <br /> If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must <br /> be endorsed. A statement on this certificate does not confer rights to the <br /> LOC 022 SEC. 4/5, TWP. 6E, RG E. 19 certificate holder in lieu of such endorsement(s). <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the <br /> ,SNOHOM I SH,WA 98290 policy,certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such <br /> endorsement(s). <br /> CERTIFICATEHOLDER CANCELLATION <br /> Should any of the above described policies be cancelled before the expiration <br /> CITY OF EVERETT date thereof,the company will ENDEAVOR TO MAIL 30 DAYS <br /> REAL PROPERTY MANAGER written notice to the certificateholder named to the left, but failure to mail such <br /> 3200 CEDAR ST notice shall impose no obligation or liability of any kind upon the company,its <br /> EVERETT WA 98201 agents or representatives. <br /> AUTHORIZED REPRESENTATIVE,_42://f./z, ;0. <7, <br /> LL <br /> M3221 (12-04) <br />