My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Son of the Reptile Man 4/28/2018
>
Contracts
>
6 Years Then Destroy
>
2018
>
Son of the Reptile Man 4/28/2018
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/3/2018 11:32:32 AM
Creation date
5/3/2018 11:32:25 AM
Metadata
Fields
Template:
Contracts
Contractor's Name
Son of the Reptile Man
Approval Date
4/28/2018
End Date
7/21/2018
Department
Administration
Department Project Manager
Delaney Morris
Subject / Project Title
Reptile Entertainment Education
Tracking Number
0001189
Total Compensation
$478.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
17
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
A�v, CERTIFICATE OF LIABILITY ° " °°Y <br /> INSURANCE 4/16/2018 <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 OP 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 be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> car:;,.r_-, CONTACT <br /> WOODALL INSURANCE AGENCY CAME. WOODALL INSURANCE AGENCY _ _ <br /> 615 W Division <br /> aC.NEo.Ext (360)336-2764 ;AC.No):(360)336-5377 <br /> Mt Vernon, WA 98273 <br /> E-MAIL( (3.- <br /> ADDRESS: 0)336-5377 <br /> _ INSURER(S) AFFORDING COVERAGENAICs ! <br /> INSURER A-The Burlington Insurance Company { i <br /> Ir1SJREL ISAAC PETERSEN INSURER B _ _ _... - 1 <br /> DBA SON OF THE REPTILE MAN <br /> INSURER C <br /> REPTILE ZOO INSURER D: I_ <br /> 22715 STATE ROUTE 2 INSURER E: _ <br /> MONROE, WA 98272 INSURER F ' <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER <br /> THIS IS TO CERTIF.(THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> • <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. i <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 'NIA— --- :GE - Ai--)0T-"SUM , POLICY EFF POLICY EXP ' <br /> tTR F!NSJRA•..._F .(NSR wvD I POLICY NUMBER ifMM'DDNYVY)iiMM'DD%YYYY)I LIMITS <br /> ;SENEH-_ LIAB'i.Tr i EACH OCCURRENCE $ 1,000, 000 <br /> X rt.,-,t -i, 'IA GENERA1 I ABILITY DAMAGE TO RENTE6� <br /> ' PREMISES(Ea occurrence1 I$ 100,000 <br /> S. <br /> -At -r1 DE X OCCUP 1 MED EXP(Any one person) ;$ EXCLUDED <br /> A540-BW-40966 8/11/178/11/18 <br /> ---—_ PERSONAL&ADV INJURY 5 1,0 0 0,0 0 0 <br /> GENERAL AGGREGATE Is 2,000,000 <br /> • <br /> G!N I_A3 RcGA'E LIAa(r APPLIES PER PRODUCTS-COMP/OP AGG 5 2,000,000 <br /> PR - <br /> POLICY•-- ACT ---- LOC 5 —. <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> • j(Ea accident) S i <br /> AN .ALTO j BODILY INJURY(Per person) S <br /> ALL ?'h NFD --- SCHEDULED - 1 <br /> AUTOS AUTOS I BODILY INJURY(Per accident)i 5 j <br /> NON-OWNED ! i PROPERTY DAMAGE <br /> 4IRED AUTOS _ AL ROS (Per accident) S <br /> S <br /> _-_- JMBnELLA LIAE OCCUR ;EACH OCCURRENCE IS <br /> ErCESS '-IAL( • CLAIMS-MADE. <br /> .._ _—_ __ _- _ <br /> AGGREGATE S ' <br /> DEC) RE ENTION.S f� -- - I --- <br /> ORkERS COMPENS.AT ION 5 <br /> WCSTATU• I jOTH-:. <br /> lr'C EMPLOYERS LIABILITY YIN :TORY LIMITS!_ ER __. <br /> r PqC G.'Fu.'"Er..,," 1 E.L.EACH ACCIDENT S <br /> =.CF.n,I,S i c._,_.-__. NiA i <br /> Irrandatot In NH) E.L.DISEASE•EA EMPLOYEE S <br /> ciF <br /> .. [_O CA':OPERATIONS'be•ow E.L.DISEASE•POLICY LIMIT 5 <br /> • , <br /> i , <br /> - I+'T'6N <br /> OF T•PERATTTTNS LOCATIONS VEHICLES (Attach ACORD 101.Add000na!Remarks Schedule if more space is required) <br /> Applies to Operations of Named Insured: <br /> Additional Insured: City of Everett, and its officers, employees and agents. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 2930 Wetmore Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Everett, WA 98201 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ®1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD2512010 05) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.