NVL Laboratories Inc 12/18/2018 - Laserfiche WebLink

NVLLA-1 OP ID: KI ACOREY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/19/2018 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 425-952-2662 C TACT Kim Breen Redmond General Insurance Agcy PHONE 425-952-2662 I FAX PO Box 847 (ac,No,Ext): (a/c,No): Redmond,WA 98073-0847 E-MAILss:kim.breen@assuredpartners.com Kevin E.Bear INSURERS)AFFORDING COVERAGE NAIC N INSURER A:Westchester Surplus Lines INSURED NVL Laboratories,Inc. INSURER B:General Casualty Co of WI 24414 4708 Aurora Ave N Seattle,WA 98103 INSURERC: INSURER D: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR Y G71181893001 09/06/2018 09/18/2019 DAMAGENTED occurrence) $ 100,000 X BI/PD Ded Per Occ $5,000 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X 128: LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO ICBA1284465 09/18/2018 09/18/2019 BODILY INJURY(Per person) $ _ OWNED SCHEDULED AUTOSRE� ONLY AUTOS BODILY BODILY INJURY(Per accident) $ X AUTOS ONLY X 'slam (PeOr acde tDAMAGE A UMBRELLA LIAB X I OCCUR _EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE ' G71181911001 09/06/2018 09/18/2019 AGGREGATE $ 5,000,000 DED X RETENTION$ NIL $ A WORKERS COMPENSATION PEATUTE X 100TH AND EMPLOYERS'LIABILITY YIN G71181893001 09/06/2018 09/18/2019 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE _E.L.EACH ACCIDENT $ �AFILE ArANII REXCLUDED? N/A EMPL LIAB/WA STOP GAP 1,000,000 andatory In NNFFii) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liab G71181893001 09/06/2018 09/18/2019 Included Contrs Pollution G71181893001 09/06/2018 09/18/2019 Included DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder&All Other Entities are Additional Insureds if required by written contract per forms ENV31010804,ENV32261008&CA79100110.Waiver of Subrogation applies per forms ENV31430305&CA79100110.Primary/Non Contributory applies per forms ENV31010804&ENV32261008.Per Project Aggregate applies per form ENV71240314.All forms attached.See Page 2 CERTIFICATE HOLDER CANCELLATION EVERE07 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. Community Housing Improvement Program 2930 Wetmore Ave, Suite 8B AUTHORIZED REPRESENTATIVE Everett,WA 98201 4( A/ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD