DreamBig for Kids LLC 12/6/2017 - Laserfiche WebLink

ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)8/1/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Special Markets Insurance Consultants,Inc. PHONE 800-727-7642 FAX 715-344-6216 1265 Main Street,Ste 202 (A/C,No.Ext): (A/C,No): Stevens Point,WI 54481 E-MAIL ADDRESS: jayne.todus@amwins.com PRODUCER CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED:The Little Gym International Inc INSURER A: Great American Insurance Company DreamBig for Kids LLC dba The Little Gym of Everett INSURER B: 7207 Evergreen Way,Suite R INSURER C: Everett,WA 98203 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: LGIT0138 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) A GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR 12:01 AM 12:01 AM MED EXP(Any one person) $20,000 Y MAC 202-68-91-00 08/01/2017 08/01/2018 PERSONAL&ADV INJURY $5,000,000 GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000,000 X T POLICY I 1 PROJECT T1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 (Ea Accident) ANY AUTO BODILY INJURY(Per person) ALL OWNED AUTOSBODILY INJURY(Per accident) A MAC 202-68-91-00 12.01 AM 12:01 AM PROPERTY DAMAGE SCHEDULED AUTOS 08/01/2017 08/01/2018 (Per accident) X HIRED AUTOS X NON-OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DEDUCTIBLE RETENTION WORKERS COMPENSATION WC STATU- OTHER AND EMPLOYERS'LIABLITY Y/N TORY LIMITS ANY PROPRIETORSHIP/PARTNER/ EXECUTIVE OFFICER/MEMBER N/A E.L.EACH ACCIDENT EXCLUDED? (Mandatory in NH) E.L.DISEASE—EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE—POLICY LIMIT Abuse&Molestation Aggregate Limit $5,000,000 12:01 AM 12:01 AM Eash Abuse Limit $1,000,000 A Professional Liability MAC 202-68-91-00 81/2017 8/1/2018 Aggregate Limit $5,000,000 Act,Error or Omission $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) The Certificate Holder is added as an additional insured but only with respect to liability arising out of the operations of the above named insured Medical Payments is increased to$20,000 via Signature GL Broadening Endorsement CG 89 70 Manager or Lessor of Premises CERTIFICATE HOLDER CANCELLATION Cityof Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Its Officers,Employees,and Agents 2930 Wetmore#9A AUTHORIZED REPRESENTATIVE Everett,WA 98201 Tout'R Seo ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD