Snohomish County Legal Services 12/27/2018

• „........14 SNOHCOU-01 KGREEN '4`�� CERTIFICATE OF LIABILITY INSURANCE i DATE(MOI/DDMlYY) 03/27/2018 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 pollcy(les)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 License#224596 - C.•OyTACT HBT insurance (MC,NEN,> ):(253)833-5140 , FAX ,NoI:(253)939-9356 P.0 Box.833 E-M n Auburn,WA 98071 AOL�REss:info@hbtinsurance.com INSURERIS)AFFORDING COVERAGE • NAICf INSURER A:Foremost Signature 41513 INSURED INSURER B: Snohomish County Legal Services INsuRERC: PO Box 5675 INSURERD: Everett,WA 98206' • 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 ADDL SUER POLICY EFF POUCY EXP LTR UMITS TYP£OF INSURANCE INSD WVO POLICY NUMBER IMM/DDIYYYYI fMMIODIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE I X I OCCUR X PAS037663755 03/0112018 03/01/2019 PDRAMMGEOEENTED3cl $ 1,000,000 MED EXP(My one peon) $ - 10,000 rs • PERSONAL&ADVINJURY L 1,000,000 GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE ; 2,000,000 POLICY Fja I I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER _._--__- S A AUTOMOBILE LIABILITY ICA COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTOPAS037663755 03/01/2018 03/01/2019 BODILY INJURY(Per person) $ _ AWNED AUTOS BODILY INJURY(Per accident) $ AUTOS��EEppONLY AUTOS BODILY p - X AM ONLY. X A11i05 O Y. reCre IMAGE ; S — UMBRELLA UAB — OCCUR EACH OCCURRENCE S EXCESS UAB- CLAIMS-MADE - AGGREGATE $ DED RETENTIONS $ A WORKERS COMPENSATION PER X ER AND EMPLOYERS'LIABILITY Y!N PAS037663755 03/01/2018 03/01/2019 1,000,000 ANY PR RO IPRIETOR/PARTNER/EXECUTIVE N!A E.L EACH ACCIDENT $ MandaMtoryingENH)R EXCLUDED? E.LDISEASE-EAEMPLOYEE ; 1,000,000 If yes,describe under • 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POUCY LIMIT ; • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached If more space Is required) Snohomish County,its officers,elected officials,agents and employees are named as Additional Insured,per attached Endorsement. CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Snohomish CountyAttn: 1-ISD Contracts THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3000 Rockefeller Avenue, , • M/S 305 Everett,WA 98201 AUTHORIZED REPRESENTATIVE tit 1 " A/ • ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of•ACORD •