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DATE(MM/DD/YYYY) <br /> ACORD® CERTIFICATE OF LIABILITY INSURANCE <br /> `.� 07/27/2017 <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 CONTACT <br /> Doug Mayer Insurance Agency Inc. PHONE Sharon McNaughton FAX <br /> (A/C•No,Ext): (727)343A 275 (ac,No (727)343-2346 <br /> 5737 Ninth Avenue North E-MAIL enc sharon.mcnau hton dou ma era tom <br /> Saint Petersburg, FL 33710 ADDRESS: g @ g Y g Y• <br /> License#: A169127 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: United States Liability Insurance Company <br /> INSURED INSURER B: <br /> Enterprise Data Solutions Inc INSURERC: <br /> 826 21st Ave N INSURERD: <br /> Saint Petersburg, FL 33704 INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 27 <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 /> IY EFF <br /> R IVSD WVD SUB) POLICY NUMBER IMMIDD/YYYY) (MM <br /> UCY EXP <br /> INSD TYPE OF INSURANCE IDD//YYYY) LIMITS <br /> LTR <br /> A X COMMERCIAL GENERAL LIABILITY Y PPP1551199B 03/13/2017 03/13/2018 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE CLAIMS-MADE OCCUR PREM SESO(Ea occur RENTED <br /> $ 300,000 <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE EERH <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? —.. <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Errors and Omissions PPP1551199B 03/13/2017 03/13/2018 Occurence 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The City of Everett, its officers,employees,and agents as Additional Insureds on the policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Avenue <br /> Everett,WA 98201 AUTHORIZED REPRESENTATIVE <br /> • 4 Ir .111 <br /> (SMP) <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> Printed by SMP on July 27,2017 at 11:26AM <br />