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ATE(MM/DD/YYYY)® A Ro CERTIFICATE OF LIABILITY INSURANCE D41/05/2018 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). PRODUCERCONTACT State Farm Insurance NAME: Larry Levien,Agent CPCU 1900 NE 162nd Ave Ste D105 (A"rc°.No.Ext):(360)944-1150 FAX No):(360)944-1039 E-MAIL Vancouver, WA 98684 ADDRESS:larry@larrylevien.com '£ INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:State Farm Fire and Casualty Company 25143 INSURED Advisicon Inc. INSURER B:State Farm Mutual Automobile Insurance Company 25178 5411 NE 107th Ave Ste 200 INSURER C: Vancouver,WA 98662-6347 INSURER D: 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DDIYYYY) (MMIDDIYYYY) A GENERAL LIABILITY L Y 98-BM-A847-7 09/15/2018 09/15/2019 EACH OCCURRENCE $ 3,000,000 — DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 3,000,000 GENERAL AGGREGATE 5 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 6,000,000 5—(1 POLICY jE81: LOC $ 571 COMBINED SINGLE LIMIT $ B AUTOMOBILE LIABILITY I ' 1 175 9157-A23-47 07/23/2018 07/23/2019 (Ea acddent} X ANY AUTO ' ' BODILY INJURY(Per person) S 1,000,000 ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accI $ dent) 1,000,000 HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ 100,000 AUTOS (Per accident) UMBRELLA LIAB _ OCCUR I EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITYTORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICE/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Additional Insured: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Everett,Attn: IT Director ACCORDANCE WITH THE POLICY PROVISIONS. 2930 Wetmore Ave Ste 6A AUTHORIZE tI REPRESENTATIVE • Everett,WA 98201 / L r--'c L.-ILA-Gel,/ © 88-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010