Skyhawks Sports Academy 11/21/2016

i..--'1 SKYHSPO-02 LSCALES AC'ORC' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DONYYY) 4.------ 2/16/2016 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 NAME: Moloney O'Neill/Alliant Insurance Services Inc. PHONE 509 FAX 818 W.Riverside,Ste 800 /AIC.No.Ext): (A1C,325-3024 (A1C,No): S okane,WA 99201 EMAIL p ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Philadelphia Indemnity Insurance Company 18058 INSURED INSURER B: Skyhawks Sports Academy,Inc. INSURER C: 9425 N Nevada St,#210 INSURER D: Spokane,WA 99218 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: WA 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, !!!I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP 1NSD WVD POLICY NUMBER (MM/DDNYYY) (MMIDDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X PHPK1453690 02/08/2016 02/08/2017 pREMISES(Ea ocaurrence) $ 300,000 MED EXP(Any one person) _ $ Excluded r PERSONAL$ADV INJURY $ 1,000,000 1 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: ABUSE/MOLESTATI $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 A X ANY AUTO PHPK1453690 02/08/2016 02/08/2017 BODILY INJURY(Pet person) $ j ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ t AUTOS AUTOS li HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) $ 1 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE PHUB530288 02/08/2016 02/08/2017 AGGREGATE $ 5,000,000 DED X RETENTIONS 10,000 $ WORKERS COMPENSATION PER 0TH- AND EMPLOYERS'LIABILITY ,//N STATUTE ER I ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 5i OFFICER/MEMBER EXCLUDED? ( I N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) a a a i E CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TheTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Everett Its Officers,Agents,and Employees Attn Cory Rettenmier ACCORDANCE WITH THE POLICY PROVISIONS. 802 Mukllteo Blvd Everett,WA 98203 AUTHORIZED REPRESENTATIVE I $ /l 1988-2014 ACORD CORPORATION. All rights reserved. t ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD d I