Laserfiche WebLink
) <br /> • <br /> ACS Dm CERTIFICATE OF LIABILITY INSURANCE DATE(MhlDDm) <br /> PRODUCER 05/292001 <br /> GALES CREEK INSURANCE SERVICES, INC503 227-0491 X23 ONLYTHISCANDRFCCONFERS ISSNOED RIGHTS UPONAS' ARTHE ICERTIF CTAIoTE <br /> 800 NW 6TH AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> SUITE 335 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> PORTLAND, OR 92709 INSURERS AFFORDING COVERAGE <br /> MORE° <br /> ENSURER A: TIG INSURANCE COMPANY <br /> EVERETT SALTY SEA DAYS ASSOCIATION INSURER B: <br /> 2520 COLBY AVENUE, SUITE 101 <br /> EVERETT,WA 98201 INSURER C: <br /> INSURER D: <br /> I <br /> COVERAGES INSURER E <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> MSR <br /> LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION --- --- <br /> GENERAL LIABILITY DA7F f&SEIDDlYY) DATE(jp�Y1 RA <br /> LTS <br /> A X COMMERCWL GENERAL LIABILITY 770003786390306 EACH OCCURRENCE _$ 1,000,000 <br /> I CLAIMS MADE I X (OCCUR 04/052001 04/052002 RRE DAMAGE <br /> (Any one Ere) s 300,000 <br /> X PARTICIPANT LEGAL MED EXP(Any one person) : 5,000 <br /> LIABILITYPERSONAL 8 ADV INJURY S 1,000 000 <br /> GERIAGGREGATE LIMO-APPLIES PER: GENERAL AGGREGATE s NONE <br /> POLICY( _,ECTO- I 1 L� <br /> PRODUCTS-COMP/OP AGG i 5,000,000 <br /> AUTOMOBILE LIAR/MY <br /> ANY AUTO T7003796390306 04/05/2001 04/05/2002 CONEDa a« �'� aLe LIMITs 1,000,000 <br /> ) <br /> ALL OWNED AUTOS <br /> SCHEDULED AUTOS BODILY INJURY — - <br /> X HIRED AUTOS <br /> (Per person) <br /> X NON-OWNED AUTOS BODILY INJURY <br /> (Per accident $ <br /> PROPERTY DAMAGE <br /> (Per scenO $ <br /> dd <br /> GARAGE LIAsiury -- <br /> ANY AUTO AUTO ONLY-EA ACCIDENT $ <br /> OTHER THAN EA ACC S <br /> AUTO ONLY: AGO $ <br /> EXCESS LIABILITY - <br /> OCCUR n CLAIMS MADE EACH OCCURRENCE $ <br /> AGGREGATE _ <br /> �J DEDUCTIBLE I <br /> RETENTIONS S <br /> vVORKERS COAMPENSATTON AND S <br /> A s i?r +UTY WASHINGTON STOP GAPX I7 v U S <br /> EMPLOYERS LIABILITY 04/05/2001 04/052003 EL EACH ACCIDENT _ <br /> s 1,000,000 <br /> 170003796390306 E.L.DISEASE-EA EMPLOYEE 1 1,000,000 <br /> OTHER E.L.DISEASE-POLICY LIMR S 1,040,000 <br /> A LIQUOR LIABILITY 77003796390306 04/05/2001 04/05/2002 $2,000,000 AGGREGATE <br /> $1,000,000 EACH COMMON CAUSE <br /> DESCRIPTION OF OPERATION3/LocATION3rvEHICLESIExCLUSIONS ADDED BY ENDORSEMENTAPECIAL PROVIsIONs <br /> THE CERTIFICATE HOLDER IS AFFORDED COVEAGE AS ADDITIONAL INSURED AS RESPECTS THE OPERATIONS OF THE NAMED <br /> INSURED FOR THE POLICY TERM LISTED ABOVE. <br /> dERTIFICATE HOLDER X <br /> ADDITIoroAL MsuREo;INSURER LETTER: X CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> SEATTLE OUTBOARD RACING ASSOCIATION DATE THEREOF,THE ISSUING INSURER FILL ENDEAVOR TO&RAIL 30 <br /> ATTN:HOWARD SHAWDAYS WRITTEN <br /> NOTICE TO THE C�crlrttATs I�HOLDER NA TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> 13530 CASCADIAN WAYIMPoSE <br /> EVERETT,WA 98208 NO OBLIGATION OR L1ABft fTY Of ANY KIND UPON THE INSURER,{T8 AGENTS OR <br /> REFRE3ENTATiVES. - <br /> FX 425-742-3718 AUTHORIZED REPPE'ENTA s <br />