Northwest Innovation Resource Center 3/6/2019

AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `..------ 11/13/2018 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(les)must have ADDITIONAL INSURED provisions or 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 Amanda McKenzie NAME: Rice Insurance LLC PHONE (360)734-1161 FAX (360)734-1173 (AIC,No,Ext): (A/C,No): 1400 Broadway E-MAIL amandam@riceinsurance.com ADDRESS: P.O.Box 639 INSURER(S)AFFORDING COVERAGE NAIC# Bellingham WA 98227 INSURERA: Mutual of Enumclaw 14761 INSURED INSURER B: Northwest Innovation Resource Center INSURER C 2200 Rimland Dr Ste 210 INSURER 0: INSURER E: Bellingham WA 98226 INSURER F: COVERAGES CERTIFICATE NUMBER: CL18111357809 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. ILTR TYPE OF INSURANCE INSD R ADM-SLIER o POLICY NUMBER POLICY EFF POLICY EXP LIMITS {MMIDD/YYYY) (MMIDD/YYYI) X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ 2.000,000 ri DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 100,OD0 MED EXP(Any one person) $ 10,000 A BOP000652507 12/22/2018 12/22/2019 PERSONAL BADVINJURY $ 2,000,000 GGEEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4,000,000 XIPOLICY 71?-r PRODUCTS•COMP/OP AGG $ 4,000,000 — OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Included (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED BOP000652507 12/22/2018 12/22/2019 BODILY INJURY(Per accident) S _ AUTOS ONLY _ AUTOS X HIRED X W $ NON-OWNED PROPERTY DAMAGE AUTOS ONLY — AUTOS ONLY (Per accident) _ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ _ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN A ANY PROPRIETOR/PARTNER/EXECUTIVE NIA BOP000652507 12/22/2018 12/22/2019 E.L.EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 2•°0°•°00 It yes,describe under 2,0 , 00000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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. 2930 Wetmore Ave Ste 10A AUTHORIZED REPRESENTATIVE Everett WA 98201 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD