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• <br /> PROFESSIONAL LIABILITY page 1 <br /> ADDITIONAL INSURED <br /> Certificate#: 201905330 <br /> Agent Information Member#: 169699 <br /> Vicencia&Buckley A Division of HUB International Member Date: 19699 06/30/2018 <br /> Insurance Services EffectivExpiration Date:6/30/2019 12:01:00 AM <br /> (7 <br /> 6 Centerpointe Drive,#350 90 DAY DISCOVERY PERIOD <br /> La Palma,CA 90623 2538 <br /> (714))7 739-3177 FAX (714)739 3188 . <br /> Policy issued by Tokio Marine Specialty Insurance Comp <br /> (800)223-9998 <br /> License#:151305 Policy#:PPK1830776 <br /> Insured's Name and Mailing Address <br /> DONER,FERENC,E <br /> 919 OLYMPIC AVE <br /> EDMONDS,WA, 98020 <br /> Additional Insured(See Additional Insured-Blanket Form): <br /> MOSS BAY DIVE CLUB <br /> UNDERWATER SPORTS INC <br /> KING COUNTY PARKS(REDMOND FORWARD THRUST POOL) <br /> KING COUNTY PARKS(MERCER ISLAND POOL) <br /> STATE OF WASHINGTON(FIRCREST POOL) <br /> CITY OF EDMONDS(YOST POOL) <br /> SHORELINE POOL <br /> SEATTLE UUN <br /> TER SPORTS <br /> EDUNDERWATER SPORTS <br /> EDMONDS <br /> BELLEVUE UNDERWATER SPORTS <br /> THE CITY OF EVERETT ITS OFFICERS,AGENTS AND EMPLOYEES <br /> LAKE FOREST PARK POOL <br /> EXOTIC AQUATICS <br /> Authorized Representative <br /> Issued on behalf of: /� a <br /> Tokio Marine Specialty Insurance Company (/ <br /> Steve Vicencia CPCU <br />