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ACSDATE(MM/DD/YYYY)
<br /> �- CERTIFICATE OF LIABILITY INSURANCE 2/26/2017
<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(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT CL Central
<br /> NAME:
<br /> Leavitt Group Northwest PHONE
<br /> H NNo.Ext): (425)258-2300 FAX
<br /> (A/C,NO): (425)258-9363
<br /> PO Box 9068 E-MAIL
<br /> ADDRESS:
<br /> INSURERS)AFFORDING COVERAGE NAIL#
<br /> Tacoma WA 98490 INSURER A:Wett American Insurance Company 44393
<br /> INSURED INSURERB:AmeriCan Fire & Casualty Company 24066
<br /> Arts Council of Snohomish Co, DBA: Schack Art Center INSURER c:United States Liability Insurance 25895
<br /> 2921 Hoyt Ave INSURER D:
<br /> Judy Tuohy, Exec Director INSURERE:
<br /> Everett WA 98201 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:17/18 Master 16/17 D & 0 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 /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ,ADDL SUBR POLICY EFF POLICY EXP
<br /> LTR )NSn.WVD. POLICY NUMBER IMM/DD/YYYY) IMM/DD/YYYY) LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY , EACH OCCURRENCE $ 1,000,000
<br /> ' DAMAGE TO A CLAIMS-MADE X OCCUR PREMISES(Ea occur ence) $ 1,000,000
<br /> X BKW56987402 1 3/6/2017 3/6/201.8 MEDEXP(Anyoneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE {$ 2,000,000
<br /> X POLICY PRO LOC PRODUCTS JECT $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY , , COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> B ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED ,SCHEDULED BAA56987402 3/6/2017 3/6/2018 BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> NON-OWNED PROPERTY DAMAGE
<br /> X HIRED AUTOS X AUTOS Per accident) $
<br /> I $
<br /> UMBRELLA LIAB OCCUR ' EACH OCCURRENCE $
<br /> EXCESS LIAB i CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> WORKERS COMPENSATION PER X OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE WA Stop Gap E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? I N I A
<br /> A (Mandatory in NH) BKW56987402 3/6/2017 3/6/2018 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000
<br /> C I Directors & Officers ND01559513C 9/1/2016 9/1/2017 Per Claim 1,000,000
<br /> Agggregate 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Everett, its officers, employees and agents are named additional insured with respects to general
<br /> liability as per written contract with the named insured form CG88100413.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 2930 Wetmore, Suite 8A ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Everett, WA 98201
<br /> AUTHORIZED REPRESENTATIVE `�
<br /> PJ zcGilmer/PJGILM (1 4..4. — - �-d -- ..---
<br /> ©1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
<br /> INS025(201401)
<br />
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