Laserfiche WebLink
SNOHCOU-01 DATKINSON <br /> AcoRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM!DDlYYYY) <br /> `---� 02/27/2017 <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 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 endorsement(s). <br /> PRODUCER License#224596 CONTACT Emily Hursh <br /> NAME: <br /> HBT Insurance PHONE FAX <br /> .O Box 833 (MMC,No,Ext):(263)929-4669 (arC,no):(253)939-9356 <br /> Auburn,WA 98071 A•DDRESS:emlly@hbtinsurance.com <br /> INSURER(S)AFFORDING COVERAGE NAIC U <br /> INSURER A:Foremost Signature 41613 <br /> INSURED INSURER 8: <br /> Snohomish County Legal Services INSURER C: <br /> PO Box 5675 INSURERD: <br /> Everett,WA 98206 <br /> INSURER E: <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 CONTRACTOR 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 NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD VNO iMM!DD/YYYYI IMM,DD/YYYY) <br /> A )( COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 <br /> CLAIMS-MADE X OCCUR X PAS037663755 03/01/2017 03101/2018 PREM!ES(EaE nDencel $ 1,000,000 <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY _$ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY jEa LOC PRODUCTS-COMP/OP AGG 2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY (E aBccideDSSINGLE LIMIT $ 1,000,000 <br /> ANY AUTO PAS037663756 - 03101/2017 03/0112018 BODILY INJURY(Per person) $ <br /> OWNED ^SCHEDULED <br /> AUTOS ONLY AUTOS <br /> yyN BODILY INJURY(Per accident) $ <br /> X AUTOS ONLY X AUTOS ONLY (Perracade rAAGE <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE S <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE S <br /> 0E0 RETENTIONS <br /> A WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANY PROPRIETOR/PARTNERIEXECUTIVE Y/H PAS037663756 03101/2017 03107!2078 EL EACH ACCIDENT S 1'000'000 <br /> O�F�FICERIMEMBEREXCLUDED? N/A <br /> (Mandatory In NH) E.L.DISEASE-EAEPIPLOYEE $ 1'000'000 <br /> If yes,descnte under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached II more space Is required) <br /> City of Everett,Its officers,employees and agents are named as Additional Insured,per attached Endorsement. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> CityACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Ave,Suite 800 <br /> Everett,WA 98201 <br /> AUTHORIZED REPRESENTATIVE <br /> itttM <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />