Kenneth Brian Hunt 12/26/2018 Amendment 1

® ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 11/12/2018 This CERTIFICATE IS ISSUED ASA 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(les)must 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: FAX The Sexton Agency (EAICONNo,Ext): I(AIC,No): 5920 Evergreen Way Ste G ADDRESS: INSURER(S)AFFORDING COVERAGE _ NAIC i Everett WA 98203 INSURER : GuideOne National Insurance Company 14167 INSURED INSURER B Kenneth Brian Hunt INSURER C: 5129 Evergreen Way INSURER D: D9 INSURER E: Everett WA 98203 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 ADOLSUBR' POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD,MD POLICY NUMBER (MMIDDNYYY) (MMIDDNYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TENTED CLAIMS-MADE nOCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 5,000 A Y Y ENV562000363-00 08/09/2018 08/09/2019 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY n & n LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ !, _ AUTOS AUTOS NON-0WNED PROPERTY DAMAGE HIREDAUTOS _ AUTOS (Peracadent) — $ UMBRELLA LIAR OCCUR — EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PERTUTE X 0TER H- OP Gap WA St AND EMPLOYERS'LIABILITY YIN STA A ANY PROPRIETOR/PARTNER/OFFICER/MEMBER EXCLUDED ECUTIVE❑N N IA Y ENV562000363-00 08/09/2018 08/09/2019 E L EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E .DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E .DISEASE-POLICY LIMIT $ 1,000,000 Contractors Pollution Liability $1,000,000/$2,000,000-CPL A Professional Liability Y ENV562000363 00 08/09/2018 08/09/2019 $1,000,000/$2,000,000-PL DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is named as Additional Insured per forms CG2010 07/04(CGL),G02212-4YA 10/17(CPL)and G03204-4YA 10/17(PL).Completed Ops applies per form CG2037 07/04(CGL). Designated Construction Projects Aggregate applies per form CG2503 03/97(CGL).Primary&Non-Contributory applies per forms G00216-4YP 10/17(CGL&CPL).Waiver of Subrogation applies per forms G00218-4YA 10/17(CGL&CPL). **10 day notice for non-payment of premium** CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Ruben Sanchez AUTHORIZED REPRESENTATIVE 3101 Cedar Street g Everett WA 98201de I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD