Kenneth Brian Hunt 4/3/2017 - Laserfiche WebLink

AORO CERTIFICATE OF LIABILITY INSURANCE f DATE(MM/DDNYYY) 1 03/16/2017 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CUNIACt NAME: The Sexton Agency PHONE 1 FAX A/C.No,Bet): (A/C,No); 5920 Evergreen Way Ste(3 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC f Everett WA 98203 INSURER : Rockh ill Insurance Co. 28053 INSURED INSURER B: Kenneth Brian Hunt INSURER C: 5129 Evergreen Way INSURER D D9 INSURER E: Everett WA 98203 INSURER!': COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUULmUMS' POLICY EFF POLItY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDNYYY) (MM/DDNYYYJ LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 o RNTED CLAIMS-MADE n OCCUR PPRREEMI ES('ca occ rrronce) $ 50,000 MED EXP(Any one person) $ 5,000 A Y Y ENVP004727.04 08/09/2016 08/09/2017 PERSONAL&ADV IN.A;RY ,j 1,000,000 51 POLICY GATE LIMITAPPLIESLIPER GENERAL AG REGATE _j 2,000,000 1�1 POLICY ,ECT LOC PRODUCTS-COMP/OP AGG__$ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea acddent) ANY AUTO BODILY IN.,URY(Per person; $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per aod dent) $ NON-OWNEDD NJTOS PROPERTY DDAMAGEHi+EDAUTOS (Per acndeM) $ UMBRELLA LIAB ^� OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS.MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE FR ANY PROPRIETOR/P.4RTNERi£XEC.UTIVE N!A E L.EACH ACCIDENT $ OFF ICEPNvEMBEREXCLUDED? N (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If ves.desrnbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY L.IMiT $ A Professional Liability $1,000,000/$2,000,000-PL Contractor's Pollution Liability Y Y ENVP004727.04 08/09/2016 08/09/2017 $1,000,000/$2,000,000-CPL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if mom space is required) Certificate Holder is named as Additional Insured per form CG2010 07/04(GL),CG2037 07/04(GL), RHIC6227 05/11 (CPL)RHIC6105 06/11 (PL). Primary and Non Contributory per form RH106048 02/12(GL).Waiver of Subrogation RHIC6058 01/10(GUCPL). **10 days notice for non-payment of premium** CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Ruben Sanchez 1 Facilities Departmetn AUTHORIZED REPRESENTATIVE 3101 Cedar Street Everett WA 98201 deo ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD