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ACRD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/7/2017 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 Select NAME; PLC Insurance, LLC PHONE (425)712-3664 FAx IANC.No.Ext): (A/C,No):(425)712-3786 4211 Alderwood Mall Blvd, #210 E-MRE$s:corrin@plcins.com INSURER(S)AFFORDING COVERAGE NAIC 8 Lynnwood WA 98036 INSURER A:Philadelphia Indemnity Ins Co. 18058 INSURED INSURER B: The Arc of Snohomish County INSURER C: 6515 202nd St SW INSURERD: INSURER E: Lynnwood WA 98036 INSURERF: COVERAGES CERTIFICATE NUMBER:17/18 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 AWL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM!DD!YYYY) (MM/OD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A CLAIMS-MADE X OCCUR PREMISES IEC occurrence) S 100,000 P11PK1659744 6/22/2017 6/22/2018 MED EXP(Any one person) _ S 5,000 PERSONAL d ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 2,000,000 X POLICY I I JE4 LOC PRODUCTS-COMP/OP AGG_ S 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINEDiSINGLE LIMIT y 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED PAPK1659744 6/22/2017 6/22/2018 BODILY INJURY(Peracddent) S AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE _AUTOS (Per accident) $ _ $ L. UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS S WAXIINCOltotIOSSXXOtK WASHINGTON STOP GAP PER OTH- (EMPLOYERS'LIABILITY Y/N STATUTE ER Jr ANY PROPRIETOR/PARTNER/EXECUTIVE EMPLOYER'S LIABILITY E.L.EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? NIA A (Mandatory In NH) PHPK1659744 6/22/2017 6/22/2018 E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 2,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Everett, its officers, agents and employess are additional insureds per the attached CG2005 0913. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Ross Johnson ACCORDANCE WITH THE POLICY PROVISIONS. 2930 Wetmore Avenue Suite BA AUTHORIZED REPRESENTATIVE Everett, WA 98201l�� Mike Rucker/TRISHA 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 0014011