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04/18/2006 TUE 9:25 FAX 3606598494 Marysville Anderson Ins. 6 001/001
<br /> ACORD,,, CERTIFICATE OF LIABILITY INSURANCEDATE INWDDIYYYY)
<br /> 04/18/2006
<br /> °RODucsR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> MARYSVILLE/ANDERSON INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> 901 STATE AVE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> MARYSVILLE, WA 98270
<br /> 360-653-0900 INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURED BRUCE BARS.OW ,NsuR>=a„-"S'KFECO AMERICAN 'STATES
<br /> DBA DOG DAY AFTERNOON INSURER B:
<br /> 1417 1/2 9TH ST INSURER C:
<br /> MARYSVILLE, WA. 98270 INSURER D.
<br /> (
<br /> .
<br /> _INRER F�.-....- ,._.....
<br /> SU
<br /> COVERAGES
<br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 /> T.".• -- �— POLICY EFFECTIVE POLICYEXPIRATIdN�
<br /> L ��•-.. LA. POLICY NUMBER DATE DATE UNITS7„000, 000'i r,
<br /> GENERAL LIABILITY ....'...... EACH OCCURRENCE S i,0 0 0, 0 0 0
<br /> AMALX COMMERCIAL.GENERAL LIABILITY ERP..MISES(Ea KcurenC0) , S 200, 0 U 0
<br /> CLAIMS MADE X I OCCUR MED EXP(MY ono Ronson) $10, 000
<br /> A 01—CG-831880-1 7-25-05 7-25-06 PERSl7NAI,6ADvtNJUItY s1,0/�0_00K, 0x0n0
<br /> .... GENERAL A C'RFCiAT F. S 2,V ora
<br /> GEM.AGGREGATE UNIT APPLIES PER: PRODUCTS-COMP/OR ARO $2,000, 000
<br /> IPOLICY I^JECT !LOG
<br /> AUTOMOBILE LIABILITY
<br /> COMBINED SINFSIX LIMIT s
<br /> ANYAUTO (EA eCCIVo t)
<br /> ALL OWNED AUTOS
<br /> BODILY INJURY
<br /> SCHEDULED AUTOS (Pct peI..on)
<br /> HIRED AN-ro
<br /> BODILY INJURY
<br /> NOH-OWNEDAUTOS (PR 5CC/Iont)
<br /> ,. -. PROPER 1Y DAMAGE
<br /> (Per acdldcnt)
<br /> GARAGE LIABILITY AUTO ONLY-ETACCIDENT S
<br /> ANYAUTO
<br /> OTHER MANEA ACC
<br /> AUTOONI,Y. Ar;<,_5....
<br /> F.XCEB5+UMBRELLA LIABILITY EACH CXX:URRENCE 5 ......,_.__..._..
<br /> IOCCUR I,,..... CLAIMS MADE AGGREGATE V,••, ---"> ,
<br /> )EDUCTIDL£ S
<br /> RETENTION 2 --�......___._..8
<br /> WORKERSCOMPENSATIONAND YY,Ymm _. WCSI
<br /> EMPLOYERS'UABIUTY ,,,,.�I„',I;OkYUMR2 ER�_�__"„«„_,,,.,M�,
<br /> A,.I..EACH ACCIDENT 5
<br /> uI u:rvnr»au E.L.DISEASE-FA EMPLOYEE S
<br /> tfyyea,SQTCII,Q unnor
<br /> L'tCNL PROVISIr)NS EnRw
<br /> DISEASE-POLICY LIMIT S
<br /> OTHER
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I ESCLU$IONS ADDED BY ENDORSEMENT(SPECIAL PROVISIONS.
<br /> CERTIFICATE HOLDER TS LISTED AS AN ADDITIONAL INSURED
<br /> CERTIFICATE HOLDER CANCELLATION _
<br /> SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br /> ATTN BARRY DATE THEREOF,THE ISSUING.INSURER WILL ENDEAVOR TO MAIL .5 DAYS WRITTEN
<br /> EVERETT PARK & REC DEPT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
<br /> 802 E MUKILTED BLVD IMPOSE ND OBLIGATION OR IJABIUTY OF ANY RIND UPON THE INSURER,ITS AGENTS OR
<br /> EVERETT, WA. 98203 REPRESENTATIVES.
<br /> AUTHORIZED REPRE NTAT1VE
<br /> ACQRD26(2001/90) ACORD CORPORATION 1988
<br /> 30
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