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ACORD,, CERTIFICATE OF LIABILITY INSURANCEDATEWM/DO/Y.(1'Y) <br /> 06/03/2008 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Linde Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P.O. Box A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Mt Vernon WA 982 73- <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A:MUTUAL OF ENUMCLAW INSURANCE C <br /> Mark Hitchcock DBA: <br /> Fairweather Forestry INSURERS: <br /> 9620 Samish Island Rd INSURER C: <br /> Bow WA 98232 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 NUMBER POLICY EFFECTIVE POUCY EXPIRATION <br /> LTR INSRI) TYPE OF INSURANCE DATE(MM/DD/YY) DATEIMM/DDCCYh OMITS <br /> GENERALUABILITY EACH OCCURRENCE $ 1,000,000 <br /> MAGE <br /> X COMMERCIAL GENERAL LIABILITY PREMSESO(EaENTED ocurence) $ 300,000 <br /> ACLAIMS MADE X OCCUR MED EXP(Any one person) f 10,000 <br /> NC19701 04/18/2008 04/18/2009 PERSONAL&ADVINJURY $ EXCLUDED <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s EXCLUDED <br /> POLICY n ECT LOC Fire Damage <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) f 1,000,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> AX SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS CP00030982 04/18/2008 04/18/2009 <br /> BODILY INJURY $ <br /> X NON-OWNED AUTOS (Pereccident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE UTABILRY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC f <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE _$ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE <br /> _ f <br /> RETENTION $ $ <br /> WC STATU- OTH- <br /> WORKERSCOMPENSATION AND TORYI,IMITS ER <br /> EMPLOYERS'LABILITY <br /> EL EACH ACCIDENT <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> $ <br /> OFFICERlMEMBEREXCLUDED? <br /> EL DISEASE-EA EMPLOYEE $ <br /> Eyes,describe under <br /> SPECIAL PROVISIONS below EL DISEASE-POLICYUMIT f <br /> OTHER <br /> DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES(EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> ADDITIONAL INSURED: <br /> CITY OF EVERETT ITS OFFICERS, EMPLOYEES AND AGENTS PER CG 20 26 AND BUSINESS AUTO ADDL <br /> INSURED ENDORSEMENT ISSUED SEPARATELY BY THE INSURING COMPANY. <br /> BUSINESS AUTO: 2003 TOYOTA PICKUP 5TEPM62NX3Z253927 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION <br /> CITY OF EVERETT DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> ATTN: PEGGY CORNISH IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br /> 3200 CEDAR STREET .EP. SENTATIVES. <br /> EVER WA 98201 A ORIZED REP•(SENTATIVE <br /> I _ <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />