Victoria Venolia 12/21/2017 - Laserfiche WebLink

A a CERTIFICATE OF LIABILITY INSURANCEDATE D/ 6/30/17 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: Kayce Dismuke Health&Fitness Direct PHONE ,Ext): 804-527-7624 FAX 4600 Cox Road E-MAIL (A1C,No): Glen Allen,VA 23060 ADDRESS: kdismuke@MarkelCorp.com PRODUCER CUSTOMER ID#: 1D13257 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Vicki Venolia INSURERA: Markel Insurance Company 38970 2313 113th Dr SE#A INSURER B: Lake Stevens,WA 98258 INSURERD: INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 937369 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 AUDLSUBR- EFF POLICY EXP LTR TYPE OF INSURANCE INSR VO, POLICY NUMBER (MM/DDY W /YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE X COMMERCIAL GENERAL LIABILITY PREM SESO(Ea occu ante) $ 100,000 CLAIMS-MADE OCCUR X FTG6562-01 7/3/17 7/3/18 MED EXP(Any one person) $5,000 A X Professional Liability PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $3,000,000 —61 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY-I TE- LOC AUTOMOBILE LIABILITY „mei COMBINED SINGLE LIMIT $ ANY AUTO (Ed awidcrn) ALL OWNED I I SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS HIRED AUTOS I I NON-OWNED BODILY INJURY(Per accident) $ AUTOS PROPERTY DAMAGE (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION WC STATU- OTHER- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS f ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Everett,The Carl Gipson Senior Center of Everett,their officers,employees and agents are included as additional insured. CERTIFICATE HOLDER CANCELLATION City of Everett The Carl Gipson Senior Center of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 3025 Lombard ACCORDANCE WITH THE POLICY PROVISIONS. Everett,WA 98201 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD