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©f <br /> A� CERTIFICATE OF LIABILITY INSURANCE DATE[MMIDDIYYYY) <br /> `+�" 01/15/2019 <br /> r 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 <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 have ADDITIONAL INSURED provisions or be endorsed, <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Roxanne Mcmahon <br /> The Partners Group Ltd Mkt,,Extl: (877)455-5640 FAX (425)455-6727 <br /> 11225 SE 6th St. E-MAIL (A/C,No): <br /> ADDRESS: rjessen©tpgrp.com <br /> Suite 110 <br /> INSURER(S)AFFORDING COVERAGE NAIL N <br /> Bellevue WA 98004 INSURER A: Philadelphia Indemnity Ins Co 18058 <br /> INSURED <br /> INSURER B: <br /> Parkview Services INSURER C: <br /> 17544 Midvale Ave N Ste LI INSURER D: <br /> INSURER E: <br /> Shoreline WA 98133 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 18/19 GL BA EL UL PL REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW PrFNE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDINGANY 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 ADOLSUHR POLICY EFF POLICYEXP <br /> LTR TYPE OF INSURANCE IVSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DDIYYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED 100,000 <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) S <br /> MED EXP(Any one person) $ 5,000 <br /> A Y PHPK1858512 08/01/2018 08/01/2019 <br /> PERSONAL AADVINJURY $ 1,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 <br /> POLICY JECT X LOC PRODUCTS-COMP/OP AGG $ 3,000,000 <br /> OTHER: <br /> AUTOMOBILELIABILITY -CEa accidOM9INEenDqSINGLE LIMIT $ 1,000,000 <br /> ( <br /> X ANY AUTO BODILY INJURY(Par person) $ <br /> A OWNED SCHEDULED PHPK1858512 08/01/2018 08/01/2019 BODILY INJURY Per accident) 5 <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNEDPRO ERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) $ <br /> $ <br /> X UMBRELLA LIAR X OCCUR EACH OCCURRENCES 2,000,000 <br /> A EXCESSLIAB CLAIMS-MADE PHUB640921 08/01/2018 08/01/2019 AGGREGATE $ 2,000,000 <br /> DED X RETENTION$ 10,D00 $ <br /> WORKERS COMPENSATION _ <br /> AND EMPLOYERS'LIABILITY YIN STATUTE X+EERH <br /> A <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A PHPK1858512-WA Stop Gap 08/01/2018 08/01/2019 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,O0Q000 <br /> Professional Liability PL Limit per Occ/Agg $1M/$3M <br /> Crime-Employee Theft PHPK1858512 08/01/2018 08/01/2019 CRM Limit $500,000 <br /> CRM Deductible $5,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The City of Everett Its officers,employees and agents are included as Additional Insured on General Liability as their interest may appear as respects <br /> operations performed by or on behalf of the Named Insured,as required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 2930 Wetmore Avenue <br /> AUTHORIZED REPRESENTATIVE <br /> Everett WA 98201 <br /> ©1988-2015 ACORD CORPORATION. Ail rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />