Alternative Environmental Technologies 12/27/2018

AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MYYY) ��. 12/19/2018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOTAFFIRMATIVELY 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 CUNiAci NAME: ONE FAX The Sexton Agency (E(EA/c1 No,Ext): (A/C,No): 5920 Evergreen Way Ste G ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC i Everett WA 98203 INSURERA: GuideOne National Insurance Company 14167 INSURED INSURER B: Kenneth Brian Hunt INSURERC: 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. NOTWITHSTANDINGANY 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. INSRLTYPE OF INSURANCE NS VVVD POLICY NUMBER ADDLZUEIR POLICY EFF POLICY EXP LIMITS {M MIDDNYYY),(MMlDD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR 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'LAGGREGATE LIMIT APPLIES PEP GENERAL AGGREGATE $ 2,000,000 POLICY PRO , �JECT 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 HIR ED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) UMBRELLA LIAB — OCCUR EACH OCCURRENCE __ $ —^ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER 0TH- WA Stop AND EMPLOYERS'LIABILITY Y/N STATUTE XI ER P Gap /-k OFFICER/MEMBER ANY I O /EXCLUDED?ECUTIVE N/A Y ENV562000363-00 08/09/2018 08/09/2019 EL.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.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/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is named as Additional Insured per forms CG2012 07/98(CGL),G02212-4YA 10/17(CPL)and GO3204-4YA 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:Chris Lark AUTHORIZED REPRESENTATIVE 3101 Cedar Street I Everett WA 98201 U , ©1988-2014 ACO+RtD�fC3�ORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD