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Client#: 677 KRAZAASSO <br /> ACORD-. DATE(MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE 10/05/2016 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> CONTACT Julie L.Nelson <br /> PRODUCER NAME: <br /> Dealey,Renton&Associates (A/C,N,Est):510 465-3090 FAX <br /> No): 510 452-2193 <br /> P.O.Box 12675 J y MAIL nelson©deale renton.com <br /> ADDRESS: <br /> Oakland,CA 94604-2675 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 510 465-3090 INSURER A:Lexington Ins.Co. 19437 <br /> INSURED INSURER B: <br /> Krazan&Associates, Inc. <br /> INSURER C: <br /> 215 West Dakota Avenue INSURERD: <br /> Clovis, CA 93612 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSRADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE OCCUR <br /> E <br /> PREMISES(EaEoccui ence) $ • <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> PRO <br /> POLICY JECT LOC PRODUCTS-COMP/OP AGG $ <br /> $ <br /> OTHER: <br /> AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT <br /> (Ea accident) $_ <br /> BODILY INJURY(Per person) $ <br /> ANY AUTO - <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS PROPERTY DAMAGE <br /> NON-OWNED (Per accident) $ <br /> HIRED AUTOS AUTOS $ <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> $ <br /> DED RETENTION$ _ <br /> WORKERS COMPENSATION I STATUTE f I FOTH <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ <br /> — <br /> OFFICER/MEMBER EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE $ <br /> (Mandatory in NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> A Professional 028174909 10/01/2016 10/01/2017 $1,000,000 per Claim <br /> and Pollution $1,000,000 Annl Aggr. <br /> Liability <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> Re:All operations of the named insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 3101 Cedar Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Everett,WA 98201 <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S1839642/M1833689 PA1 <br />