Compass Health 2/22/2017 - Laserfiche WebLink

ACORDTh, CERTIFICATE 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 (NC No,EXt): FAX No): Suite 700 E-MAIL Denver CO 80237 ADDRESS: (303)414-6000 INSURERISI 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: 12697542 REVISION NUMBER: V00000( 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 LIMITS TYPE OF INSURANCE INSD NND POLICY NUMBER (MM/DDIYYYY'(MMIDD/YYYYI A x COMMERCIAL GENERAL LIABILITY Y N FLP005371304 3/1/2017 3/1/2018 EACH OCCURRENCE s 1,000,000 A CLAIMS-MADE X OCCUR WASHINGTON STOP GAP 3/1/2017 3/1/2018 DAMAGE TO RENTED OCCU ante) $ 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 I POLICY n PROn- LOC PRODUCTS-COMP/OP AGG $ 3,000,000 JECT I I OTHER: $ B AUTOMOBILE LIABILITY N N PHPK1614659 3/1/2017 3/1/2018 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ){X}ice AUTOS ONLY _SCHEDULED BODILY INJURY(Per accident',$ )000000( X AUTOS ONLY X AUUTNOS ONLYY PROPERTY DAMAGE $ XAX1l1Atr'CX (Per accident) $ 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 0T H. AND EMPLOYERS'LIABILITY y/N NOT APPLICABLE V��Tvv ER ANY PROPRIETOR/PARTNER/EXECUTIVE [7 NIA E.L.EACH ACCIDENT $ XXXJOO(X OFFICER/MEMBER EXCLUDED? I I )0000�07v�(r (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ X,00L 00( If yes,describe under )v(v)v�X DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ )0000 00( A Professional Liability N 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) 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. 12697542 AUTHORIZED REPRESENTATIVE City of Everett Department of Planning and Community Dev. 2930 Wetmore Avenue,Suite 8A Everett WA 98201 Cares fri, t I / ACORD 25(2016/03) ©1988 015 ACORD CORPO TION.All rights reserved The ACORD name and logo are registered marks of ACORD