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ACO® DATE(MM/DD/YYYY) <br /> �� CERTIFICATE OF LIABILITY INSURANCE 7/19/2017 <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 Kari. Di Julio <br /> NAME: <br /> Gurry&Rogers Insurance Agency, Inc. Wen FAX <br /> .6d): (206)621-6444 No):(206)515-0560 <br /> 2901 NE Blakeley St. #3A A ESS: kari@gurryandrogers.com iivc. <br /> INSURER(S)AFFORDING COVERAGE NAIC 6 <br /> Seattle WA 98105 INSURER Valley Forge Insurance Co 20508 <br /> INSURED <br /> INSURER B: <br /> Odin Networks, LLC INSURER C: <br /> 16437 SE 43RD ST INSURERD: <br /> INSURER E: <br /> BELLEVQE WA 98006 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:CL1771903867 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 /> INSRTYPE OF INSURANCE ADDLISUBR POLICY EFF POLICY EXP UNITSLTR INSD WVD, POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) <br /> COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO <br /> A CLAIMS-MADE OCCUR PREMISES(EaENTED occurrrence) $ 300,000 <br /> X 6021592892 7/14/2017 7/14/2018 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 /> POLICY PRO- <br /> 2,000,000 <br /> X JECT LOC PRODUCTS-COMPIOPAGG $ <br /> OTHER: SGAG $ 2,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> A ANY AUTO BODILY INJURY(Per person) $ <br /> ALL <br /> AUTOS X OWNED SCHEDULED <br /> AU6021592892 7/14/2017 7/14/2018 BODILY INJURY(Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE <br /> X HIRED AUTOS X AUTOS (Per accident) $ <br /> $ <br /> UMBRELLA UAB _ OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ <br /> WORKERS COMPENSATION SII. Stop Gap PER <br /> STATUTE ERH <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000,000 <br /> A (MandatoryMEMBER in EXCLUDED? N/A 6021592892 7/14/2017 7/14/2018 <br /> ' NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate holder is named as additional insured as respects the operations of the named insured. <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 Ave ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Everett, WA 98201 <br /> AUTHORIZED REPRESENTATIVE <br /> Joe Kenny/JK -7:7 tom-. <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> 1NS025(2014011 <br />