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Policy Number: Date Entered: 11/9/2007 <br /> ACORD,„ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> 11/ 9/2007 <br /> PRODUCER District 03 Commercial Center THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> WALKER INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1029 Cedar Ave HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Marysville, WA. 98270 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> (360)658-9800 <br /> 79-03-364 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED Silver Lake Senior Housing Assc of Sn0 C INSURER ATRUCK INSURJuNCE EXCHANGE <br /> DEA Silver Woods Senior Apartments INSURER B: <br /> 8225 - 44th Ave W Suite 0 INSURER C: <br /> Mukilteo, WA 98275-2851 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. 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 /> INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YYI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> A COMMERCIAL GENERAL LIABILITY DAMAGEEMISTO RENTED <br /> X � 03507-63-95 12/31/2007 12/31/2008 PREMISES(Ea occurence) $ 75,000 <br /> CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GENERAL AGGREGATE $ 4,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 4,000,000 <br /> POLICY PRO- LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> 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 LIABILITY EACH OCCURRENCE _ $ <br /> OCCUR CLAIMS MADE AGGREGATE _ $ <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WC STATU- OTH- <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under — <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A °TMERTerrorism 03507-63-95 12/31/2007 12/31/2008 Included <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> 10915 16th AVE SE EVERETT, WA 98208-4836 <br /> No Deductible for Liability <br /> City of Everett, its officers, employees and agents named as Additional Insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Everett DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> 2930 Wetmore Avenue, Suite 8B NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Everett, WA 98201 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> -1. AUTHORIZED REPRESENTATIVE WALKER <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br /> Producedusing Forms Boss Plus software.www.FormsBoss.comImpressivePublishing 800-208-1977 <br />