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ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) <br /> • <br /> 04/27/2017 <br /> THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOTAFFIRMATIVELY 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 CON1ACr <br /> NAME: <br /> Michael Malone Insurance&Financial Services, Inc PHONE FAX <br /> (A/C,No,Ext): I(A/C,No): <br /> 19125 Northcreek Pkwy,#120 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC J <br /> Bothell WA 98011 INSURERA: Scottsdale Insurance Co. 41297 <br /> INSURED INSURER B: <br /> Sharing Wheels INSURER C: <br /> 2531 Broadway INSURER D: <br /> INSURER E: <br /> Everett WA 98201 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 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 /> INSR ADDLbUBK POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE INSD "MID POLICY NUMBER (MM/DDM'YY) (MM/DDIYYYY) <br /> X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1,000,000 <br /> DAMAGETO RENTED 100,000 <br /> CLAIMS-MADE [51( OCCUR PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) .$ 5,000 <br /> A Y CPS2685789 04/182017 04/18/2018 PERSONAL&ADV INJURY $ 1,000,000 <br /> :EN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 1,000,000 <br /> X POLICY JET LOC PRODUCTS-COMP/OPAGG $ 1,000,000 <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) _ <br /> ANY AUTO BODILY INJJRY(Per person) $ <br /> ALL OANED SCHEDULED BODILY INJJRY(Per acadent) $ <br /> AUTOS -- AUTOS <br /> NON-OWNED PROPERTY DAMAGE <br /> HIREDAUTOS _ AUTOS (Per accident) <br /> $ <br /> UMBRELLA LIAB �CCL'F. EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATIONPER. OTH- <br /> AND EMPLOYERS'LIABILITY Y/N I STATUTE I ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE DN/A E .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 DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> CITY OF EVERETT,ITS OFFICERS,EMPLOYEESAND AGENTS ARE NAMED ADDITIONAL INSURED PER FORM CG2026. <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 AVE STE 10A <br /> AUTHORIZED REPRESENTATIVE <br /> Everett WA 98201-406 <br /> I l�� <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />