2010/06/02 Council Agenda Packet

1J a �c111, e. f •ris:u� ti e' . �:Cerifi a� Ali `t• _ r ��- i •:: r.:,2� 0308�s.-. - ssa� ate:U ,•;;;;„; 2 0 1 01 PRODUCER • THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Debbie Merlino CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE Combined Specialties International,Inc. • DOES NOT AMEND,EXTEND OR LATER THE COVERAGE AFFORDED BY THE 205 San Marin Drive,Suite 5 • POLICIES BELOW. Novato California 94945 INSURERS AFFORDING COVERAGE INSURER A:Underwriters,Lloyds of London INSURED INSURER B: Wolverine Fireworks Display,inc. INSURER C: 205 W.Soldiers Road Kawkawlin Michigan 48631 INSURER D: • COVERAGES • THiS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED INSURED ABOVE FOR THE PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES INCLUDING,BUT NOT LIMITED TO THOSE FOLLOWING:LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.ADDITIONAL CONDITIONS AND EXCLUSIONS:1)THE INSURANCE EVIDENCED BY THIS CERTIFICATE IS LIABILITY INSURANCE ONLY,IT IS NOT A BOND OR ANY FORM OF SURETY AGAINST WHICH SOMEONE OTHER AN'INSURED'MAY ASSERT A CLAIM OR BRING ANY ACTION.SUBJECT TO POLICY TERMS,CONDITIONS,DEFINITIONS AND EXCLUSIONS THE INSURANCE ONLY INDEMNIFIES AN INSURED AGAINST CERTAIN LEGAL LIABILITY.2) THE INSURANCE DOES NOT COVER CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE OF THE NAMED INSURED'S SHOOTER(S)ASSISTANT(S)OR ANY OTHER PERSON(S)INCLUDING ANY VOLUTEER(S)PARTICIPATING IN ANY WAY IN ANY DISPLAY OR SPECIAL EFFECT PERFORMED OR EXECUTED BY THE NAMED INSURED.3)COVERAGE DOES NOT APPLY TO CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE ARISING OUT OF THE INSURED'S FAILURE TO FOLLOW NFPA OR OTHER APPLICABLE REQUIREMENTS,LAWS OR RECOMMENDATIONS,INCLUDING THOSE RELATING TO POST DISPLAY OR SPECIAL EFFECT SEARCHES OR CLEAN UP. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE- POLICY EXPIRATION LTR DATE(MM/DD/YY):" DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY 1228436670/010 February 01,2010 February 01,2011 EACH ACCIDENT $5,000,000 CLAIMS MADE • yi . • MEDICAL EXP $5,000 . (any one person) FIRE LEGAL LIABILITY $50,000 • GENERAL AGGREGATE $5,000,000 PRODUCTS-COMP/OPS AGG $1,000,000 AUTOMOBILE LIABILITY COMBINED SiNGLE LIMIT (Ea accident) ANY AUTO • BODILY INJURY $ ANY OWNED AUTO SCHEDULED AUTOS (Per parson} HIRED AUTOS • BODILY INJURY NON-OWNED AUTOS • (Per accident) PROPERTY DAMAGE $ (Per person) EXCESS LIABILITY • EACH ACCIDENT $ FOLLOWING FORM AGGREGATE $ WORKERS COMPENSATION WC STATU- OTHER AND TORY LIMITS EMPLOYERS'LIABILITY • E.L:EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYER $ E.L.DISEASE-POLICY LIMIT $ OTHER • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Everett Aqua Sox-Baseball Club;Everett School-District 42;City of Everett and 7th Inning Stretch,LLC,agents,employees&officers are Additional Insured as respects the 6/21,8/25,7/2,7/3,7/9;8/7,8/20&9/2/2010 Fireworks Displays at Everett Memorial Stadium,Everett,WA . • CERTIFICATE HOLDER - ' . CANCELLATION • Everett Aqua Sox Baseball Club SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 7th Inning Stretch,LLC THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE 3802 Broadway CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO Everett,WA 98201 OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,IT'S AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE • 120