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A !Rc® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YWY) 2/28/2017 THIS CERTIFICATE IS ISSUED AS A 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(ies) 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 CONTACT Carol Danell NAME: PLC Insurance, LLC PHONE NE.Ext); (425)712-3664 FAX No):(425)712-3786 4211 Alderwood Mall Blvd, #210 ADORIEss:carold@plcins.com INSURER(S)AFFORDING COVERAGE NAIC# Lynnwood WA 98036 INSURERA:Philadelphia Indemnity Ins Co. INSURED INSURER B: Bridgeways INSURER C 5801 - 23rd Dr. W. Suite 104 INSURERD: INSURER E: _ Everett WA 98203 INSURER F__ COVERAGES CERTIFICATE NUMBER:17/18 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. INSW TYPE OF INSURANCE ADDL SUER i POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 TA ] CLAIMS-MADE l X OCCUR PRPREEMIMI ESESS( RENTED occurrence) $ - - 1,000,000 ■ X PHPK1619256 3/2/2017 3/2/2018 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY( -1 JECT L LOC PRODUCTS-COMP/OPAGG $ 3,000,000 ------- ------------- , OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X1 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED PHPK1619256 3/2/2017 3/2/2018 BODILY INJURY(Per accident) $ _ AUTOS AUTOS NON-OWNED PROPERTY HIRED AUTOS AUTOS Per accident) DAMAGE $ I $ A X UMBRELLA LIAB X OCCUR PHUB574877 3/2/17 3/2/18 EACH OCCURRENCE -_—LS__ __1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION$ 10,000 1 $ }ARI CAAtl ( - RrI(EMPLOYERS'LIABILITY Y/N I STAPER TUTE 10ERTH ANY PROPRIETOR/PARTNER/EXECUTIVEI 1 N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? A (Mandatory in NH) PHPK1619256 3/2/2017 3/2/2018 E.L.DISEASE-EA EMPLOYE $ 1„000 000 If yes,describe under DESCRIPTION OF OPERATIONS below WA Stop Gap E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Professional Liability PHPK1619256 3/2/2017 3/2/2018 Limit-Occurrence 1,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Everett, its officers, employees and agents are additional insured per attached CG2026 0413 andPl-GLD-HS (10-11) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn Rebecca McCrary ACCORDANCE WITH THE POLICY PROVISIONS. Dept of Plannning & Community Dev 2930 Westmore Ave AUTHORIZED REPRESENTATIVE Suite 8A Everett, WA 98201 Mike Rucker/SHANNB1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(7014D11