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__�•�.4,40 PERFSOU-01 DWHITFIELD
<br /> ACORO" MM/
<br /> ( DD
<br /> DATE /YYYY)
<br /> 4.,..._.---- CERTIFICATE OF LIABILITY INSURANCE 0MM/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 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 ACT
<br /> David Whitfield
<br /> Soleyon Insurance Partners PHONE42
<br /> (A/C,No,Ext):( 5)208-0035 FAX
<br /> No):
<br /> 4208 198th St.SW Suite 206
<br /> Lynnwood,WA 98036 D1N Ss:dave@soleyon.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> at, 2.. INSURER A:CNA
<br /> INSURED " INSURER B:
<br /> Performance SOund,LLC 3-.3 "? INSURER c:
<br /> 7721 20th Ave SW INSURER D:
<br /> Seattle,WA 98106
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES C a IC•a MBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THATHE POL o'i.. 2,03-:. RA ,,,,3 ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING AN Ai,-�wQ`i` ENT 1 sa--,CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR ;t .-'fit'AIN, T LL ' AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF Sk. k;tica (CIES.LI r•-HO `. ''Y HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR 'q,'T', DDL -• ';' # POLICY EFF POLICY EXP
<br /> TYPE OF INSURANCE ' ' ,, POLI• 1 BER LIMITS
<br /> LTR INSD (• t: /MM/DD/YYYY) (MM/DD/YYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY ``' 1 4 "` 1,000,000
<br /> t� ' "*,:?. EACH OCCURRENCE $
<br /> CLAIMS-MADE OCCUR 121.':',I'M". ,.�}";``:` 09/06/2017 09/06/2018 DAMAGETO( RENTED
<br /> rence) $
<br /> 1 `�.,.t "`v}je' Ci MED EXP(Any one person) $ 10,000
<br /> ''�tiy �� ,;'ww '• PERSONAL&ADV INJURY J 1,000,000
<br /> GEN'L AGGREGATE Lla E�y r pl u, - ,eii� 'y4 a4� GENERAL AGGREGATE $ 2'000'000
<br /> X POLICY .v.,---' .tit ill L s t,..• ,,',V,'1,1' 4w:a�,�d:
<br /> . .e p1 ,ya .,5 PRODUCTS-COMP/OPAGG� 2,000,000
<br /> OTHER: ak Z:: `"a.-' H yam' y,`• $
<br /> MU, p1 ya 1 rites ,pi i COMBINED SINGLE LIMIT
<br /> AUTOMOBILE i,�� TY ` t:. ,,, 's (Ea accident $
<br /> ANY AUTO:S1"•ti5 "41',..:3,10i4 iNiFt h r. BODILY INJURY(Per person) $
<br /> OWNED Y � SCHEDULED {
<br /> AUTOS ONL rail^ "}+S ,a `' _
<br /> 3 ¢ 14 u/F?sy�y r
<br /> �. BODILY INJURY(Per accident) $
<br /> HIREDtAk
<br /> 3°"...i '.,WNED � ti%''''''.er. PROPERTY DAMAGE
<br /> AUTOS ONLY Idta4.,y ,it ON rr� y, tititc riiii.r• mcv'i. 4`4+,o- +' (Per accident) $
<br /> }� / .\ J/t,y ~! • $
<br /> It* f 1,1r
<br /> _ UMBRELLA LIAB OCC r Ati r gill'
<br /> r.... f r f; a CURRENCE _ $
<br /> EXCESS LIAB CLAI ,�•DE r` s r....
<br /> gyp r fir. AGG''m :€ $
<br /> DED RETENTION$ ` r L;,v {r"i -VA,,� $
<br /> WORKERS COMPENSATION r' l - # r;1}+ }+a 3i - P OTH-
<br /> ',ff !r.r r+$ '` r ER
<br /> AND EMPLOYERS'LIABILITY Y zdrff rr;; / /-
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE /.' '�I - frl _3-3"..H ACCID $
<br /> OFFICER/MEMBER EXCLUDED f
<br /> (Mandatory in NH) ■ N .;74,;*. 'ir' E.L SEAS E ..s'
<br /> If yes,describe under rf sFyr
<br /> DESCRIPTION OF OPERATIONS below A -� • 1� E.L.DISE/ ?''CY LI(�'s
<br /> y riY h' v tAlix
<br /> riLl% ILIA.
<br /> r
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) +to`7 .,tP
<br /> a {
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Cityof Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 2930 Wetmore Ave.
<br /> Everett,WA 98201
<br /> AUTHORIZED REPRESENTATIVE
<br /> 7'D-
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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