Applied Research Northwest 3/13/2019

A ® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/5/2019 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 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 Liberty Mutual Insurance NAMEACT PO Box 188065 E-MAIL IL Excr. 800-962-7132 (NC,No): 800-845-3666 Fairfield, OH 45018 E-MAIL ADDRESS: BusinessService(a,LibertyMutual.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: American Fire and Casualty Company 24066 INSURED INSURER B: Applied Research Northwest LLC PO Box 1193 INSURER C: Bellingham WA 98227 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 47395097 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A v COMMERCIAL GENERALLIABILITY ✓ BZA56924097 2/1/2019 2/1/2020 EACH OCCURRENCE $2,000,000 DAMAGE CLAIMS-MADE „/ OCCUR PREM SESO(EaENTEoccu ence) $2,000,000 ✓ Businessowners MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 ✓ POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $4,000,000 OTHER: $ A AUTOMOBILE LIABILITY BZA56924097 2/1/2019 2/1/2020 TeaBccideDneNGLELIMIT $2000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION BZA56924097 2/1/2019 2/1/2020 PER O PEATUTE ETH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $2,000,000 OFFICER/MEMBEREXCLUDED? NIA (Mandatory in NH) Stop Gap E.L.DISEASE-EA EMPLOYEE $2.000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is Additional Insured if required by written contract or written agreement,subject to Businessowners'Liability Extension Blanket Additional Insured Provision. This Policy is Primary and we will not ask for contribution of the Policy issued to the Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Rebecca A McCrary ACCORDANCE WITH THE POLICY PROVISIONS. 2930 Wetmore Ave Suite 8A Everett WA 98201 AUTHORIZED REPRESENTATIVE ce I Molly McCallum ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 47395097 1 9041536588 1 19-20 Master Certificate 1 Molly McCallum 1 3/5/2019 3:38:51 PM (PST) 1 Page 1 of 6