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KARLN-1 OP ID: ER <br /> A cR1, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 04/25/2016 <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 Schroder Insurance Services <br /> Schroder Insurance Services <br /> Lic#0E97553 ( CPHONE, Ext):925-934-6789 (,vC,No):925-934-0189 <br /> 1410 North Main Street E-MAIL <br /> Walnut Creek,CA 94596 ADDRESS: <br /> Schroder Insurance Services INSURER(S)AFFORDING COVERAGE NAIC A <br /> INSURER A:Scottsdale Insurance Company <br /> INSURED KARL NEEDHAM ENTERPRISES INSURER e:AGCS MARINE INS CO <br /> 4901 A East Mariposa Road <br /> Stockton,CA 95215 INSURER C <br /> 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 /> INSR ADDL SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR X CPS2236404 06/04/2015 06/04/2016 DAMAGE TO REN rED 100,000 <br /> PREMISES(Ea occurrence) $ _ <br /> MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO- <br /> JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS— <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS (Per accident) <br /> $ <br /> UMBRELLA UAB OCCUR EACH OCCURRENCE $ <br /> EXCESS UAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER 0TH- <br /> AND EMPLOYERS'LIABIUTY Y I N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? N I A E.L.EACH ACCIDENT $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> B EQUIPMENT FLOATER SML93069283 10/15/2015 10/15/2016 LIMIT`* 5,000 <br /> MISC.EQUIPMENT DEDUCT. 1,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> THE CITY OF EVERETT AND ITS OFFICERS, ELECTED OFFICIALS EMPLOYEES,AGENTS <br /> AND VOLUNTEERS ARE NAMED ADDITIONAL INSURED AS RESPECTS WORK DONE BY THE <br /> NAMED INSURED. COVERAGE TO THE CITY OF EVERETT AND ITS OFFICERS, ELECTED <br /> OFFICIALS, EMPLOYEES AGENTS AND VOLUNTEERS IS PRIMARY AND NON-CONTRIBUTORY. <br /> ENDORSEMENTS CG2038 0413 AND CG 2001 0413 AND CG2404 05-09 ATTACHED. <br /> CERTIFICATE HOLDER CANCELLATION <br /> EVERETT <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CITY OF EVERETT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> ATTN: CHRIS CHESSON <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 AUTHORIZED REPRESENTATIVE <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />