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1 ® DATE(MM/DDNYYY) <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE <br /> 4...-----' 04/27/2017 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES 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 pollcy(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 <br /> NAME: <br /> Michael Malone Insurance&Financial Services, Inc PHONE FAX <br /> (lUC,No,Ext): (A/C,No): <br /> 19125 Northcreek Pkwy,#120 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC S <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 INSURERF: <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 TYPE OF INSURANCE ADDLSUBK POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD (MM/DDNYYY) (MM/DDNYYY) <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO CLAIMS-MADE n OCCUR PREMISES(Ea occuurrrence) $ 100,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A Y CPS2685789 04/18/2017 04/18/2018 PERSONAL&ADV INJURY j 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE j 1,000,000 <br /> 1POLICY n n� LOC _PRODUCTS-COMP/OP AGG $ 1,000,000 <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIME $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) ` <br /> _ $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ^ AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS _ AUTOS (Per accident) <br /> .$ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I RETENTION$ $ <br /> WORKERS COMPENSATION I PEA UTE I I ETH <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EN/A E .EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E .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 /,o/ <br /> Everett WA 98201-406 f, /, <br /> 1 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 />