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Snohomish County Legal Services 12/27/2018
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Snohomish County Legal Services 12/27/2018
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Last modified
1/10/2019 10:33:17 AM
Creation date
1/10/2019 10:33:11 AM
Metadata
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Contracts
Contractor's Name
Snohomish County Legal Services
Approval Date
12/27/2018
Council Approval Date
2/7/2018
End Date
12/31/2018
Department
Planning
Department Project Manager
Rebecca McCrary
Subject / Project Title
Civil Legal Aid to Low Income Everett Residen
Tracking Number
0001587
Total Compensation
$3,000.00
Contract Type
Agreement
Contract Subtype
Grant
Retention Period
6 Years Then Destroy
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• • <br /> Z <br /> Client#:66011 SNOHCOU2 v <br /> ATE(MMIDD/YYYY) <br /> ACORD7M CERTIFICATE OF LIABILITY INSURANCE D03/27/2018 <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 r <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 I <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 r <br /> certificate holder in lieu of such endorsement(s). <br /> CONTACT t <br /> PRODUCER NAME:- <br /> The CIMA Companies,inc. PHONE Ate)No): <br /> (A/C,No,Eel): 1. <br /> 2750 Killarney Dr,Suite 202 E-MAIL x <br /> ADDRESS: <br /> Woodbridge,VA 22192-4124 PRODUCER <br /> CUSTOMER ID#: <br /> INSURER(S)AFFORDING COVERAGE NAIC# .. <br /> INSURED INSURER A:Lloyd's London , <br /> Snohomish County Legal Services INSURER B; 3 <br /> 2731 Wetmore Ave,Suite 410 <br /> INSURER c: <br /> Everett,WA 98201 <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 TYPE OF INSURANCE NSRL SSINVD POLICY NUMBER (MMIDlY <br /> D EPOLICY E <br /> LTRYYY) MM/DD/YYYYI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE 5 <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) 5 <br /> CLAIMS-MADE I OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY 5 <br /> - GENERAL AGGREGATE 5 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> —I POLICY PFOT- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 <br /> (Ea accident) <br /> ANY AUTOBODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS • BODILY INJURY(Per acodent) 5 <br /> SCHEDULED AUTOS PROPERTY DAMAGE 5 <br /> HIRED AUTOS (Per accIdent) <br /> NON-OWNED AUTOS 5 " <br /> --- <br /> 5 <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE — $ <br /> RETENTION 5 5 <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVEY+N TORY LIMITS ER <br /> EACH ACCIDENT 5 _ <br /> OFFICER/MEMBER EXCLUDED? ( I E.L.N/A <br /> (Mandatory In NH) • E.L.DISEASE-EA EMPLOYEE 5 <br /> If yes,describe under S.L.DISEASE-POLICY LIMIT 5 <br /> DESCRIPTION OF OPERATIONS below <br /> A Legal Profes 17801328163 02/01/2018 02/0112019 $1,000,000/$1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> City of Everett,its officers,employees and agents are additional insureds,but only with respect to the <br /> activities of the insured organization.Certificate is subject to all policy terms, limits,conditions and <br /> exclusions. _ <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> 2930 Wetmore Avenue, Suite 800 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Everett,WA 98201 <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2009 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S346715/M346714 ARJ . <br />
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