Laserfiche WebLink
AC RD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 12/04/2017 <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Hope Hermann <br /> NAME: <br /> Rice Insurance LLC PHONE (360)734-1161 FAX (360)734-1173 <br /> (AIC,No,Ext): (A/C,No): <br /> 1400 Broadway E-MAIL hopeh@riceinsurance.com <br /> ADDRESS: <br /> P.O.Box 639 INSURER(S)AFFORDING COVERAGE NAIC N <br /> Bellingham WA 98227 INSURER A: Mutual of Enumclaw 14761 <br /> INSURED <br /> INSURER S: <br /> Northwest Innovation Resource Center INSURER C: <br /> 2200 Rimland Dr Ste 210 INSURER D: <br /> INSURER E: <br /> Bellingham WA 98226 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL1712447491 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 ADDL SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 2,000,000 <br /> DAMAGE IO RENTED 100,000 <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ 10,000 <br /> A BOP000652506 12/22/2017 12/22/2018 PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> X POLICY JELOC 4,000,000 <br /> PRODUCTS-COMP/OP AGO $ _ <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Included <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) 5 <br /> A OWNED SCHEDULED BOP000652506 12/22/2017 12/22/2018 BODILYINJURY(Peraccident) $ <br /> AUTOS ONLY _ AUTOS _ <br /> X HIRED <br /> ONLY AUTOS ONX NON-OWNEDLPROPERTY DAMAGE <br /> (Per accident) $ <br /> AUY <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION S $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVEV/N NIA BOP000652506 12/22/2017 12/22/2018 E.L.EACH ACCIDENT $ 2,000,000 <br /> OFFICER/MEMBER EXCLUDED <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 <br /> If yes,describe under 2,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <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 <br /> Ste 10A AUTHORIZED REPRESENTATIVE e <br /> Everett WA 98201 <br /> 1 ��(2 •�G/ . -- <br /> .7. <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />