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..----.1ri, DATE(M MIDD/yYYY) <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE <br /> 10/24/2016 <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 /> PRODUCER CONTACT <br /> NAME: <br /> FAX <br /> Michael Malone Insurance&Financial Services,Inc (EARCO NE No,Cot). (A/C,No): <br /> 19125 Northcreek Pkwy,#120 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC i <br /> Bothell WA 98011 INSURER A: Scottsdale Insurance Co. 41297 <br /> INSURED INSURER B: <br /> Sharing Wheels INSURER C: <br /> 2531 Broadway INSURER D: <br /> INSURER E <br /> Everett WA 98201 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 /> INSR AL)IJLSUHK POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INS() VVVD POLICY NUMBER (MM/DDIYYYY) (MM/DDNYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ): 1.000.000 <br /> CLA�r.1C-MATT I XI -UF PREMISES(EO a RENTED - $ 100,000 �� <br /> MED EXP(Any one person) $ 5,000 <br /> A Y CPS2414626 04/18/2016 04/18/2017 PERSONAL&aov 15.1 BY $ 1,000,000 — <br /> GENL AGGREGATE ES PER GENERAL AGGREGATE $ 1,000,000 <br /> IXOTHERPOLICY n E T n LOQ. PRODUCTS-COMP/OPAGG $ 1.000.000 <br /> AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT $ <br /> (Ea acc,dentl _ <br /> ANY AUTO <br /> BODILY NJJRY(Per person)y $ <br /> ALL OWNED ^ SCHEDULED BODILY:N,LIRY(Per accident) $ <br /> _ AUTOS _ AUTOS <br /> HIREDAUTOS AlTOS NON-OWNED PROa RTde DAMAGE $ <br /> AI ITOS <br /> $ <br /> UMBRELLA LIAB ,)CCUR EACH OCCURRENCE $ <br /> EXCESS LIAB _LAIMS-M L'h A'-GREGATE 'r <br /> DED I RETENTION 4 <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'•LIABILITY Y/N STATUTE I I H- <br /> AND <br /> ANY FROPRIETOP/FARTNEREXECUTI:'E EL EACH ACCIDENT . <br /> OFFICER/EMBER EXCLUDED? N NIA <br /> (Mandatory In NH) E L DISEASE EA EMPLOYEE $ <br /> I/ es,500cc/e under <br /> DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMI I $ <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached II more space is required) <br /> CITY OF EVERETT.ITS OFFICERS,EMPLOYEES AND AGENTS ARE NAMED ADDITIONAL INSURED PER FORM CG2026. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> CITY OF EVERETT ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 WETMORE AVE STE 10A AUTHORIZED REPRESENTATIVE pt <br /> Everett WA 98201-406 U� <br /> Irc' <br /> I <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD <br />