Snohomish County Legal Services 12/27/2018

ik I i. Client#:66011 SNOHCOU2 ___ ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DOIYYYY)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 policy(ies)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 - Y NAME: The CIMA Companies, Inc. PHONE FAX 2750 Killarney Dr,Suite 202 Ext): (A/C,No): l' E-MAILEML ADDRESS: d Woodbridge,VA 22192-4124 PRODUCER • l CUSTOMER fD it INSURER(S)AFFORDING COVERAGE NAIC B INSURED INSURER A:Lloyd's London Snohomish County Legal Services INSURER B: 2731 Wetmore Ave,Suite 410 INSURER C: Everett,WA 98201 INSURER D t INSURER E: 6 INSURER F: i 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. 1 INSR )DDL�SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR M'VD POLICY NUMBER (MMIDO/YYYY) (MM/ODIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ ClA3MS-MADE i I OCCUR MED ECP(My one person) $ _ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ POLICY JE LOC]LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO --` BODILY INJURY(Per person) . $ ALL OWNED AUTOS INJURY(Per accident) $ I SCHEDULED AUTOSPROPERTY DAMAGE $ 5 HIRED AUTOS (Per accident) NON-OWNED AUTOS $ I i UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR , CLAIMS-MADE AGGREGATE $ DEDUCTIBLE _ N RETENTION $ - - $ WORKERS COMPENSATION WC STATU- OTH- 1 AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ ,I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Legal Profes 17B01328163 02/01/2018 02/01/2019 $1,000,000/$1,000,000. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Snohomish County, its officers, elected officals,agents and employees are additional insureds,but only with respect to the activities of the insured organization. Certificate is subject to all policy terms, limits,conditions and exclusions. CERTIFICATE HOLDER CANCELLATION Snohomish County Human Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE.EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attn: Contracts ACCORDANCE WITH THE POLICY PROVISIONS. 3000 Rockefeller Avenue,M/S 305 Everett,WA 98201 AUTHORIZED REPRESENTATIVE I O CI.I 4Ak 2. _ . ©1988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD #S346713/M346712 ARJ