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® DATE(MM/DD/YYYY)
<br /> A4.......---- CCERTIFICATE OF LIABILITY INSURANCE
<br /> 05/16/2018
<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 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 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 /> PRODUCER CONTACT
<br /> NAME:
<br /> Parker,Smith&Feek, Inc.
<br /> 111/21o,Ext):425-709-3600 (A/c,No):425-709-7460
<br /> 2233 112th Avenue NE E-MAIL
<br /> Bellevue,WA 98004 ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE 1 NAIC#
<br /> INSURER A: Arch Specialty Insurance Company
<br /> INSURED INSURER B: Allmerica Financial Benefit Insurance
<br /> Pacific Security
<br /> 2009 Iron Street INSURER C:
<br /> Bellingham,WA 98225 INSURER D: _
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 /> INSRII TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)
<br /> A GENERAL LIABILITY BSPKG2O51513 6/27/2017 6/27/2018 EACH OCCURRENCE _ $ 1,000,000
<br /> DAMAGE TO RENTED 100,000
<br /> X COMMERCIAL GENERAL LIABILITY X II, PREMISES(Ea occurrence) $ _
<br /> X CLAIMS-MADE OCCURMED EXP(Any one person) $ 5,000
<br /> X Errors&Omissions PERSONAL&ADV INJURY $ 1,000,000
<br /> GENERAL AGGREGATE $ 5,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 5,000,000
<br /> PRO-
<br /> X I POLICY JECT LOC $
<br /> AUTOMOBILE LIABILITY AW2A66503103 COMBINED SINGLE LIMIT 1,000,000
<br /> B 6/27/2017 6/27/2018 (Ea accident) $
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULEDBODILY INJURY(Per accident)I$
<br /> AUTOS AUTOS
<br /> NON-OWNED PROPERTY DAMAGE I$
<br /> HIRED AUTOS ,AUTOS (Per accident_
<br /> I $
<br /> A UMBRELLA LIAB X OCCUR BSPKG2078311 6/27/2017 6/27/2018 EACH OCCURRENCE $ 3,000,000
<br /> X I EXCESS LIAB 1 CLAIMS-MADE AGGREGATE $ 3,000,000
<br /> 1 DED i X I RETENTION$ 10,000 $
<br /> A WORKERS COMPENSATION BSPKG2051513 WC TORY LIMITS X 0TH-
<br /> AND EMPLOYERS'LIABILITY Y/N 6/27/2017 6/27/2018 WA Stop Gap 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 _.
<br /> If yes,describe under I 10 ,
<br /> 00000
<br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ ,
<br /> II
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> Security Agreement.City of Everett,and its officers,employees and agents are an additional insured on the general liability policy per the attached
<br /> endorsement/form.
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Everett
<br /> 2930 Wetmore Avenue AUTHORIZED REPRESENTATIVE
<br /> Everett,WA 98201 (--'
<br /> ©1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
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