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ACO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 10/5/2017 <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 CONTAg <br /> CT Ginger Carlson <br /> NAME: <br /> Degginger McIntosh and Associates fPHC"N Fin (425)740-5200 A/C.No): (425)740-5201 <br /> 3977 Harbour Pointe Blvd SW E-MAIL in <br /> ADDRESS:g g er@DMAinsurance.com <br /> INSURER(S)AFFORDING COVERAGE NAIL# <br /> Mukilteo WA 98275 INSURER A:HIBCOX, Inc. L19704 <br /> INSURED INSURER B:American Fire and Casualty Co. <br /> Ergometrics & Applied Personnel Research, Inc. INSURERc:Evanston Insurance Company <br /> National Testing Network, Inc. INSURER D: <br /> 18720 33rd Ave W STE 200 INSURERE: <br /> Lynnwood_ WA 98037 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:17/18 GL BA SG UMB PRO 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 ADDL SUBR POLICY EFF POLICY EXP/YLIMITS <br /> LTRINSR WVD POLICY NUMBER (MM/DDYYY) (MM/OD/YYYY) <br /> A GENERAL LIABILITY MPL1004042.17 10/27/2017 10/27/2018 EACH OCCURRENCE _$ 1,000,000 <br /> —DAMAGE TO RENTED 50 000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ <br /> CLAIMS-MADE X OCCUR X MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> 371 POLICY[' JE& <br /> JECT LOC $ <br /> B AUTOMOBILE LIABILITY BAA58229925 10/27/2017 10/27/2018 (CEOMaBBIINdEeD SINGLE LIMIT nt) $ 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS _ AUTOS <br /> XX NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS _ AUTOS (Per accident) <br /> C X UMBRELLA LIAR X OCCUR XOBW7369017 10/27/2017 10/27/2018 EACH OCCURRENCE $ 2,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 <br /> DED X RETENTION$ 10,000 <br /> A WORKERS COMPENSATION MPL1004042.17 10/27/2017 10/27/2018 WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY TORY LIMITS X ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WA STOP GAP E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> A PROFESSIONAL LIABILITY MPL1004042.17 10/27/2017 10/27/2018 EACH OCCURRENCE $2,000,000 <br /> DEDUCTIBLE: $5,000 AGGREGATE $3,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> The City of Everett is included as Additional Insured per attached form WCLP0002CW(1014) with respect to <br /> any and all operations of the Named Insured. All endorsements apply per required Written Contract. Reg: <br /> Promotional Assesessments <br /> CERTIFICATE HOLDER CANCELLATION <br /> Bjones@everettwa.gov 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 /> Brian Jones <br /> 2930 Wetmore Avenue Suite 5A AUTHORIZED REPRESENTATIVE <br /> Everett, WA 98201 <br /> Ken McIntosh/OGDON <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INS025(201005).01 The ACORD name and logo are registered marks of ACORD <br />