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ACORDTMCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/1/2018 2/23/2017 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 have ADDITIONAL INSURED provisions or 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 Lockton Companies CONTACT 8110 E.Union Avenue PHONE FAX Suite 700 (A/C,No,Ext): (A/C,No): E-MAIL Denver CO 80237 ADDRESS: (303)414-6000 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Arch Specialty Insurance Company .21199 INSURED Compass Health,Inc. INSURER B: Philadelphia Indemnity Insurance Co. 18058 1075167 4526 Federal Avenue INSURER C Everett,WA 98203 • INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 3973501 REVISION NUMBER: XXXXXXX 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD NND POLICY NUMBER (MM/DD/YYYY)(MM/DD/YYYY) LIMITS — A x COMMERCIAL GENERAL LIABILITY y N FLP005371304 3/1/2017 3/1/2018 EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE n OCCUR WASHINGTON STOP GAP 3/1/2017 3/1/2018 DAMAGE ASEORoNuDASSoccurrence)nce) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE $ 3,000,000 POLICYn Fir n LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER. $ B AUTOMOBILE LIABILITY N N PHPK1614659 3/1/2017 3/1/2018 COMBIN(EaaccideEDnt) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED AUTOS ONLY SCHEDULEDOSUBODILY INJURY(Per accidents XXXXXXX X AUTOS ONLY X AUTOS ONE Perr aoadenDAMAGE $ XXXXXXX $ XXXXXXX A UMBRELLA LIAB _OCCUR N N FLP005371304 3/1/2017 3/1/2018 EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB X CLAIMS-MADE AGGREGATE $ 2,000,000 DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE n N/A NOT APPLICABLE E.L.EACH ACCIDENT $ XXXXXXX OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ XXXXX XXIf X DEdescribe under SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX A Professional Liability Y N FLP005371304 3/1/2017 3/1/2018 $1M Each Claim/$3M Agg. 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 as additional insured's are included as Additional Insured with regard to ProiisLLGeneral Liability. vvE� VED MAR 0 1 2017 CITY OF EVERETT PLANNING DEPT CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3973501 AUTHORIZED REPRESENTATIVE City of Everett Human Needs Grant 2930 Wetmore Avenue,Suite 8A Everett,WA 98201 arks /1 rd, ACORD 25(2016/03) ©1 8 015 ACORD CORPO TION.All rights reserved The ACORD name and logo are registered marks of ACORD