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A <br /> 3/22/2017 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsementjs). <br /> PRODUCER CONTACT <br /> THE SEXTON AGENCY NAME: <br /> PHONE (425)743-1122 1Z 425 743-1122 <br /> 5920 Evergreen Way, Ste H E-MAILn Fz1 fA(C.N01;� ) <br /> ADDRESS:psextonl@farrnersagent.com <br /> Everett, WA 98203 <br /> INSURER(S) AFFORDING COVERAGE NAIC# <br /> INSURER A: Truck Insurance Exchange 21709 <br /> INSURED Brian Hunt <br /> INSURER B: Farmers Insurance Exchange 21652 <br /> dba Alternative Technologies INSURER C.Mid Century Insurance Company 21687 <br /> 6321 Broadway Apt 4 INSURER D: <br /> Everett, WA 98203 INSURERS: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INS‘ Auul. auetc POLICY EFF POLICY EXP <br /> WO TYPE OF INSURANCE INSD WPOLICY NUMBER (MM/DD/YYYY) (IAM/ODLYYYX LIMITS <br /> COMMERCIAL GENERAL LIABILITY <br /> EACH OCCURRENCE $ <br /> I CLAIMS-MADE El OCCURDAMAGE 10 PREM SE%(Fa occu o nce) $ <br /> MED EXP(Anyone person) $ <br /> PERSONAL 8 ADV INJURY ,$ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY a PRO- <br /> R <br /> JECT EILOC <br /> PRODUCTS-COMP/OP AGG $ <br /> OTHER: <br /> AUTOMOBILE LIABILITY (COMBINED)SINGLE LIMIT $ 1,000 000 3 <br /> ^—ANVAUTO <br /> OWNED SCHEDULED 606619618 03/13/2017 03/13/2018 BODILY INJURY(Per person) $ <br /> t...; AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY <br /> (Per accident) $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ <br /> EXCESS LIAB CLAIMS-MADE <br /> AGGREGATE $ <br /> DED I ,RETENTION$ <br /> WORKERS COMPENSATION _ <br /> AND EMPLOYERS'LIABILITY I STATUTEI ERH <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) <br /> If yes,describe under E.L.DISEASE-EA EMPLOYEE $ <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> City of Everett is named as Additional Insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attn: Ruben Sanchez / Facilities Department <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 3101 Cedar Street <br /> Everett, WA 98201 AUTHORIZED REPRESENTATI E <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />