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ACG CERTIFICATE CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDIYYYY)
<br /> Ilik....----- 09/26/2017
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> ICERTIFICATE 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 1NSURER(S),AUTHORIZED
<br /> EPRESENTATIVE 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 Cam)Dennis
<br /> NAME:
<br /> TRC Insurance
<br /> PHONE Eat): (877)637-1858 (ac,No): (425)818-2950
<br /> 12015 115th Ave NE E-MAIL
<br /> ADDRESS: cami@trcisu.com
<br /> Suite 240
<br /> INSURER(S)AFFORDING COVERAGE NA1C I
<br /> Kirkland WA 98034 INSURER A: American Alternative Insurance Corp
<br /> INSURED
<br /> INSURER B:
<br /> Hand In Hand INSURER C:
<br /> 14 E Casino Rd Ste E. INSURER D:
<br /> INSURER E:
<br /> Everett WA 98208 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 17/18 GUEUPLAbuse 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 WTH 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 ADOLSUBR -
<br /> LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER POLICY EFF POLICY EXP
<br /> (MM1DDlYYYY) (MM/DDIYYYY) LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCES 1,000,000
<br /> CLAIMS-MADE X OCCUR DAMAGE TO RtN I tD 1,000,000
<br /> PREMISES(Ea occurrence) S
<br /> MED EXP(Any one person) S 15,000
<br /> A Y 99A2CP0003717-01 10/01/2017 10/01/2018 PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE OMIT APPLIES PER: GENERAL AGGREGATE S 3,000,000
<br /> X POLICY ECT LOC 3,000,000
<br /> PRODUCTS-COMPIOP AGG 5
<br /> OTHER: S
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S
<br /> (Ea accident)
<br /> ANY AUTO BODILY INJURY(Per person) S
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) S
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE S
<br /> AUTOS ONLY AUTOS ONLY (Per accident)
<br /> $
<br /> UMBRELLA UAB OCCUR J
<br /> . EACH OCCURRENCE S
<br /> EXCESS UAB CLAIMS MADE
<br /> AGGREGATE S
<br /> OED RETENTION S S
<br /> �-WORKERS COMPENSATION '
<br /> PER OTH-
<br /> AND EMPLOYERS'LIABILITYSTATUTE ER
<br /> Y/N 1,000,000
<br /> A OFFICER/MEMBER EXCLUDED?ANY PROPRIETOR/PARTNER/EXECUTIVE 1 I N/A 99A2CP0003717-01 - 10/01/2017 10/01/2018 EL EACH ACCIDENT r
<br /> (Mandatory in NH)
<br /> E.L. 1,000,000
<br /> DISEASE-EA EMPLOYEE S
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> PROFESSIONAL LIABILITY PER INCIDENT $1,000,000
<br /> A ABUSE&MOLESTATION 99A2PL0011154-01 10/01/2017 10/01/2018 AGGREGATE $3,000,000
<br /> _ DEDUCTIBLE $1,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES (ACORD 101,Additional Remarks Schedule,may be aNached if more space is required)
<br /> City of Everett,its officers,emploees and agents are additional insured
<br /> I
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> •• SHOiP_D AP OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> T;-) 'EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED li,I
<br /> ( Cit C _ve Dept c,'°la-.nine ?ornmu -, . ACCOROAH.3 VII,;-1-1THEPOLUC I PROVIS)ONS.
<br /> 1, 2830 V.L.,:trnore Ave S:., 8A 1.�.v......,.,�.w._.. ...a.__........R..�..�.zA_ ......
<br /> , {AUTH•ORRIZE°REPRESENTATIVE.
<br /> _r '`V,. 9$281)044 tl: ,---7-=i I�_'
<br /> �.-.......... .. ®.=_z.....s-... ©19E-3 2I0?3 ACORD CUR??ORATiO 3, At!r!ght3 fes"-:i.
<br /> ACORD 25(2013i80) Ti A.^nom, n1
<br /> 1.. ,; >� J:-'_':+.Ti-: and D a;a ragisteTed n as�<3 Of ACORO
<br />
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