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ACORD, CERTIFICATE OF LIABILITY INSURANCE 7 ozioi2o 6 <br /> PROC)UCER (509)325-3024 FAX (509)325-1803 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Moloney, O'Neill , Corkery & Jones, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1206 N Lincoln, Suite #200 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Spokane, WA 99201 <br /> Jan Fenton INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Skyhawks Sports Academy, Inc. INSURER A: Philadelphia Indemnity Ins Co <br /> 6311 Mt Spokane Park Dr INSURER B: American States Insurance Co <br /> Suite B INSURERC: Markel Insurance Co <br /> Mead, WA 99021 INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIN <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 /> NSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UMITS <br /> QTR INSRjj DATE M/DOmI BWIMMIDD/YY1 <br /> GENERAL LIABILITY PHPK157661 02/08/2006 02/08/2007 EACH OCCURRENCE $ 1,000,0 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED100 0 <br /> riv <br /> PREMISES(Fe nranta) $ <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $ EXci ud <br /> A PERSONAL&ADV INJURY $ 1,000,0 <br /> GENERAL AGGREGATE $ 3,000,0 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 3,000,0 <br /> nPOLICY n,f7-n LOC <br /> AUTOMOBILE LIABILITY 24CC1099461 02/08/2006 02/08/2007 <br /> ANY AUTO (EMaccident)NED IGLE LIMIT $ <br /> 1,000,0 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> B SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA UABIUTY PHUB058761 02/08/2006 02/08/2007 EACH OCCURRENCE 5 3,000,0 <br /> nOCCUR CLAIMS MADE AGGREGATE $ 3,000,0 <br /> A $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> TORY LIMITS ER <br /> EMPLOYERS'UABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ <br /> K describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> OTHER 4102AH2838870 02/08/2006 02/08/2007 Aggregate Limit - $250,000 <br /> _ Excess Medical <br /> - $100 Deductible Medical Aggregate - $25,000 <br /> Applies AD&D Limit $5,000 <br /> ESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> ity of Everett is named as additional insured as respects to general liability arising out of <br /> rerations of the named insured per insuring form CG 2026 (7/04) attached. <br /> ERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Everett Parks & Rec BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 802 Muki 1 teo B1 vd OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> Everett, WA 98203 AUTHORIZED REPRESENTATIVE <br /> -I /4 r <br /> Jan Fenton/GEJ fir <br /> 3ORD 25(2001/08) 5 4 ©ACORD CORPORATION 1c <br />