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Sno-Valley Farms, Inc. 2/16/2017
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Sno-Valley Farms, Inc. 2/16/2017
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Entry Properties
Last modified
3/16/2017 2:16:35 PM
Creation date
3/16/2017 2:16:30 PM
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Contracts
Contractor's Name
Sno-Valley Farms, Inc.
Approval Date
2/16/2017
End Date
1/31/2018
Department
Facilities
Department Project Manager
Mike Palacios
Subject / Project Title
Use of property for farming purposes
Tracking Number
0000520
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Use of Property
Retention Period
6 Years Then Destroy
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JPIU rKPM 54105513}4I JNU—VHLLtY rMKPIJ !NU trrCA,I Ivt: UL/UI/LUI / rKULtJtu: UI/US/LUI / <br /> Since 1894 <br /> O <br /> OREGON MUTUAL INSURANCE COMPANY <br /> LOSS PAYEE COPY <br /> CERTIFICATE OF INSURANCE <br /> ISSUE DATE: 01/03/20 1 7 <br /> INSURED AGENT 01763 <br /> SNO—VALLEY FARMS INC GUIDE INSURANCE SERVICES, INC. <br /> SEE M2366 8108 GUIDE MERIDIAN RD. <br /> 7230 89TH ST SE PO BOX 473 <br /> SNOHOMISH, WA 98290 LYNDEN, WA 98264 <br /> COVERAGES DISCLAIMER <br /> This is to certify that the policies listed below have been issued to the insured The Certificate of Insurance does not constitute a contract between <br /> named above for the policy period indicated. Notwithstanding any requirement, the issuing insurer(s),authorized representative or producer,and <br /> term,or condition of any contract or other document with respect to which this the certificate holder,nor does it affirmatively or negatively amend, <br /> certificate may be issued or may pertain,the insurance afforded by the policies extend or alter the coverage afforded by the policies listed thereon. <br /> described herein is subject to all the terms,exclusions,and conditions of such <br /> policies. The limits shown may have been reduced by paid claims. <br /> Type of Insurance Policy Number Effective Date Expiration Date Limits of Insurance <br /> F ARM LIABILITY SMO 5416556341 02/01/2017 02/01/2018 General Aggregate $ 2,000,000 <br /> Each Occurance $ 1 ,000,000 <br /> Personal&Advertising Injury $ 1 ,000,000 <br /> Medical Expense-Per Person $ 5,000 <br /> Fire Legal Liability-Any One Fire $ 100,000 <br /> $ <br /> Automobile Liability Combined Single Limit(ea accident) $ <br /> Bodily Injury(per person) $ <br /> Bodily Injury(per accident) $ <br /> Property Damage(per accident) $ <br /> Garage Liability Auto Only(ea accident) $ <br /> Other than Auto Only(ea accident) $ <br /> Other than Auto Only(aggregate) $ <br /> Commercial Property <br /> Deductible: $ <br /> $ <br /> Other <br /> $ <br /> I <br /> Description of Operations/Locations/Special Items IMPORTANT <br /> If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must <br /> be endorsed. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> LOC 022 SEC. 4/5, TWP. 28N, RG E . 5E If SUBROGATION IS WAIVED,subject to the terms and conditions of the <br /> ,SNOHOM I SH,WA 98290 policy,certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such <br /> endorsement(s). <br /> CERTIFICATEHOLDER CANCELLATION <br /> Should any of the above described policies be cancelled before the expiration <br /> CITY OF EVERETT date thereof,the company will ENDEAVOR TO MAIL 30 DAYS <br /> REAL PROPERTY MANAGER written notice to the certificateholder named to the left, but failure to mail such <br /> 3200 CEDAR ST notice shall impose no obligation or liability of any kind upon the company, its <br /> EVERETT WA 98201 agents or representatives. <br /> AUTHORI ED REPRESENTATIVE LL <br /> M3221 (12-04) <br />
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