Hand in Hand 10/24/2016 - Laserfiche WebLink

',.....,‘ ACRODATE(MM/DDlYYYY) © CERTIFICATE OF LIABILITY INSURANCE 8/9/2016 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 Cami Dennis NAME: TRC Insurance PHONE p�ErtI: (877)637-1858 ( No,(425)818-2950 12 015 115th Ave NE MAIL AD'DRES8:carni@ trcisu.corn Suite 240 INSURER(S)AFFORDING COVERAGE NAICf Kirkland WA 98034 INsuRERA Admiral Ins Co INSURED INSURER B: Hand In Hand INSURER C: _ 14 E Casino Rd Ste E. INSURER D: INSURER E: Everett WA 98208 INSURER F: COVERAGES CERTIFICATE NUMBER:15/16 - GL/AB/PL 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 ADDU lS`WTBR' POLICY EFF POLICY EXP LIMITS LTR INSD VD POLICY NUMBER (MM/ODrYYYY) (MMIDD/YYYY) X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 50,000 A _ CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ X 1 FA000000001-05 10/1/2015 10/1/2016 MED EXP(Any one person) $ 5,000 SEXUAL ABUSE: PERSONAL&ADV INJURY $ 1,000,000 GE AGGREGATE LIMIT APPLIES PER $1,000,000 PER CLAIM GENERAL AGGREGATE _ $ 3,000,000 X POLICY JECOT- I LOC $3,000,000 AGGREGATE PRODUCTS-COMP/OP AGG $ 1,000,000— OTHER' CLAIMS MADE $ AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) _ $ UMBRELLA LIAB I OCCUR 1 EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/NN/A E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? II(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A I PROFESSIONAL LIABILITY FA000000001-05 10/1/2015 10/1/2016 PER CLAIM $1,000,000 POLICY AGGREGATE $3,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Everett, its officers, emploees and agents are additional insured 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 Dept of Planning & Community ACCORDANCE WITH THE POLICY PROVISIONS. Development 2930 Wetmore Ave Ste. 8A AUTHORIZED REPRESENTATIVE Everett, WA 98201-4044 Scott Roberts/CAMI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025,20141r11