Mountain Sound Inc 6/7/2018 - Laserfiche WebLink

MOUNSOU-01 CTROKEYMOUDY ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �.� 05/15/2018 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 have ADDITIONAL INSURED provisions or 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: Hub International Northwest LLC 12100 NE 195th Street,Suite 200 1aICO No,Ext):(425)489-4500 (A/c,No):(425)485-8489 Bothell,WA 98011 E-MAILDDR ADDRESS:now.info@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Foremost Insurance Company Grand Rapids 11185 INSURED INSURER B: Mountain Sound _INSURER C: 7830-129th Drive SE INSURER D: Snohomish,WA 98290-6235 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)I LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PAS042892803 12/15/2017 12/15/2018 DAMAGE TO RENTED 1,000,000 __ .. PREMISES(Ea occurrence) $___ MEDEXPiAnyoneperson) $ 10,000 PERSONAL&ADV INJURY $ GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 POLICY JECT I LOC , PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) 1..$ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident$ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY —_1 AUTOS ONLY (Per accident) _- $, UMBRELLA LIAB {OCCUR ,EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE 'AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITYY/N STATUTE _ ';ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ :OFFICER/MEMBER EXCLUDED? NIA --__ — -- (Mandatory in NH) — E.L.DISEASE-EA EMPLOYEE $ If yes,describe under —- ----- - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Property PAS042892803 12/15/2017 12/15/2018 Scheduled Property 204,100 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Property Deductible:$250 City of Everett,and its officers,employees and agents are included as additional insureds. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2930 Wetmore Ave,10-A Everett,WA 98201 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD