Laserfiche WebLink
II 9 <br /> P ; DATE(MIAIODIYYTY) <br /> AWKL7 CERTIFICATE OF LIABILITY INSURANCE 613/2011 <br /> PRODUCER Linde Insurance Inc THIS CERTIFICATE IS ISSUED AS A MATTER GE INFORMATION <br /> P..0. Box A ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Mt Vernon WA 98273 HOLDER. THIS CERTIFICATE DOES NOT AMEN), EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phone: 360-336-6168 Fax:360-336-5787 ,INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED <br /> Mark Hitchcock INSURERA Mutual ltEnumclaw Insurance Co <br /> • <br /> Fairweather Forestry INSURER B: <br /> 9620 Samish Island Rd INSURER <br /> Bow WA 98232 INSURER It <br /> I INSURER E I <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.N DTWITHSTANDING <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 TilE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSRADITL, POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSRT4 TYPE OF INSURANCE POLICY NUMBER DATE WVODNYYYI DATE UMNDDIYYYYI LIMITS - <br /> �GENERAL LIEBILITY EACH OCCURRENCE r1 1,OOD,000 <br /> ^I COMMERCIAL GENERAL LIABILITY <br /> DAMAGE PREMISES l RENTED - r XIO,OW <br /> DAMAGT(Ea RENTED <br /> e) - <br /> A 1 !CLAIMS MADE I X I OCCUR MED EXPO one person) d 10,000 <br /> CPP0004696 00 04/18/2011 04/18/2012 PERSONAL R ADV INJURY -I 5 EXCLUDED <br /> GENERAL AGGREGATE :I 2,000,000 <br /> 'GENT_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COIA.tOPAGG LS EXCLUDED <br /> POLICY^ PRO- 1 1 LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT S 1,C00,0D0 <br /> JI ANY AUTO (Ea acdc enl) <br /> I <br /> I ALL OWNED AUTOS <br /> BODILY INJURY S <br /> A X SCHEDULED AUTOS reef parson <br /> X HIRED AUTOS CPP0004696 00 04118/2011 .04118/2012 <br /> X BODILY INJURY <br /> NOM-OWNED AUTOS (Par ardent)• <br /> T <br /> PROPERTY DAMAGE S <br /> 1 <br /> (Per iCciCeN) <br /> • <br /> • GARAGE LIABILITY 1 I AUTO ONLY-EAAC DENT f3 <br /> I ANY AUTO EA ACC S <br /> 111 OTHER THAN <br /> AUTO ONLY: AGO S <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE S <br /> 71 OCCUR I I CLAIMS MADE AGGREGATE S <br /> �. S <br /> • <br /> DEDUCTIBLE <br /> - S <br /> RETENTION S S <br /> WORKERS COMPENSATION WCSTATU- GIN- <br /> AND EMPLOYERS LIABILITY YIN I TORY l IMTrS I FR_. <br /> ANY PROPRIt RXipARTIJ£RIECECUTIVE EL EACH ACCIDENT ,S <br /> OFFICER/MEMBER EXCLUDES? <br /> (Mandatory In NH) I E.L cis EASE-EA EMPLOYEE S <br /> II yes,dewriba under <br /> SPECIAL PROVISIONS bebw EL DISEASE-POLICY LIMIT S <br /> OTHER <br /> I <br /> DESCRIPTION OF OPERATIONS(LOCATIONS I VEHICLES(EXCLUSIONS ADDED BY ENOORSEYENTI SPECIAL PROVISIONS <br /> Additional Insured: <br /> City of Everett its officers, employees and agents per CG2026 and business auto addl insured ndorsement <br /> CA2048 <br /> CERTIFICATE HOLDER CANCELLATION I <br /> SHOULD ANY OFTHEABOVEDESCRIBED PDUCIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Everett DATE THEREOF,THE ISSUED INSURER'MIL ENDEAVOR TO MAIL ••30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT F•AILURE 10 DO SO SHALL <br /> Attn: Julie Sklare I <br /> IMPOSE ND OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 3200 Cedar Street REP ENTATIVES- 1 i <br /> Everett, WA 98036 T RIZED REP ••$ENTATIVE )` <br /> I Lek.... C- M/i \, J' : <br /> ACORD 25(2009101) ®1988-2009 ACORD CORPORATION.•All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> 61 <br />