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,eco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> L.,--- 08/31/2018 <br /> 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 Kim Grahn <br /> NAME: <br /> Shipley&Pease Insurance PHONE (206)519-5371 FAX (503)282-3345 <br /> (A/C,No,Ext): (A/C,No): <br /> P 0 Box 928 E-MAIL kim@shipleyins.com <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC A <br /> Woodinville WA 98072 TravelersIndemnityofAmerica(TIA) 25666 <br /> INSURER A: <br /> INSURED Travelers Insurance Company <br /> INSURER B: p y <br /> Botesch Nash&Hall Architects PS INSURER C: <br /> 2727 Oaks Ave Ste 100 INSURER 0: <br /> INSURER E: <br /> Everett WA 98201 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL1883101023 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY 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 ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY 1,000,000 <br /> EACH OCCURRENCE $ _ <br /> CLAIMS-MADE X OCCUR DAMAGETORENTED 1,000,000 <br /> PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ 5,000 <br /> A 6806H037238 09/01/2018 09/01/2019 PERSONAL SADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY X 78: LOCPRODUCTS-COMPIOPAGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) _ _ <br /> X ANYAUTO BODILY INJURY(Per person) $ <br /> — <br /> A OWNED SCHEDULED BA6H10369A 09/01/2018 09/01/2019 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY _ AUTOS ONLY (Per accident) <br /> $ <br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCES 2,000,000 <br /> A EXCESS UAB CLAIMS-MADE CUP6H038407 09/01/2017 09/01/2018 AGGREGATE $ 2,000,000 <br /> DED XI RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION PER ETH- WA Stop Gap <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 6806H037238 09/01/2018 09/01/2019 E.L.EACH ACCIDENT S 1,000,000 <br /> OFFICER/MEMBER EXCLUDED <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000000 <br /> If yes,describe under 1 0 ,00 000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S , <br /> Each Claim $2,000,000 <br /> Professional Liability <br /> B 106584589 09/01/2018 09/01/2020 Aggregate $4,000,000 <br /> Deductible $10,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <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 /> Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE t <br /> I <br /> - ����� <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />