Play Well TEKnologies 5/23/2019 - Laserfiche WebLink

ACRD® CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDlYYYY) kii....----- 09/12/2018 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 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 Kent Schaum NAME: McNamara Insurance Services,Inc. PHONE Eel: 457-7856 FAX No): (415)457-7698 1050 Northgate Drive,Ste 515 (EMAIL Kent@4apolicy.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC B San Rafael CA 94903 INSURERA: Philadelphia Insurance Companies 18058 INSURED INSURER B: Property&Casualty Ins.Co.Of Hartford 30147 Tim Bowen,DBA:Play-Weil TEKnologies INSURER C: 224 Greenfield Ave.Ste B INSURER D: INSURER E: San Anselmo CA 94960 INSURER F: COVERAGES CERTIFICATE NUMBER: CL1891202763 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. POLICY EFF POLIEXP (LTR TYPE OF INSURANCE rttgp SWVD t Y POLICY NUMBER (MM/DO/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 137< DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES{Ea occurrenco) $ 1,000,000 MED EXP(Any ono porson) $ 5,000 A Y PHPK1880017 10/01/2018 10/01/2019PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIESPER: GENERAL AGGREGATE s 2,000,000 X POLICY n PRO- 2,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: Professional Liability $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ {En accldont) ANY AUTO BODILY INJURY(Por person) S OWNED SCHEDULED SCHEDULED BODILY INJURY(Por occident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Por accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESSLIAB CLAIMS-MADE PHUB646976 10/01/2018 10/01/2019 AGGREGATE $ 5,000,000 DED RETENTION S ] $ WORKERS COMPENSATION X STATUTE 1 0TH AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE Y�j N!A 57WECKZ9403 10/01/2018 10/01/2019 E.L.EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? I (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ify0:,doscrlbeunder E.L.DISEASE-POLICY LIMIT $ 1.0 , 00000 DESCRIPTIONRIPTIONOF OPERATIONS below Abuse/Molestation A PHPK1880017 10/01/2018 10/01/2019 EACH INCIDENT 1,000,000 AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Those usual to the Insured's Operations.The City of Everett,its officers,agents and employees are added as Additional Insured per the General Liability Deluxe Endorsement:Human Services PI-GLD-HS attached to this policy. 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,its officers,agents and employees ACCORDANCE WITH THE POLICY PROVISIONS. 802 E.Mukilteo Blvd. AUTHORIZED REPRESENTATIVE "� Everett WA 98203 I ‘14-:. %uv ©1988-2015ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD