Megan McKenna 5/23/2019 - Laserfiche WebLink

ACOREP CERTIFICATE OF LIABILITY INSURANCE DA05/03/20 9 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). PRODUCER CONTACT BWI Program Support NAME: Veracity Insurance Solutions,LLC. (Nc No E#Y (877)536-7290ac,No): 801-763-1374 260 South 2500 West,Suite 303 E-MAIL info@insurebodywork.com ADDRESS: Pleasant Grove UT 84062 INSURER(S)AFFORDING COVERAGE NAIC A INSURER A: Great American Alliance Insurance Company 26832 INSURED INSURER B: Megan McKenna,DBA Clownarific INSURER C: 322 171st st se INSURER D: bothell WA 98012 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. ILTR TYPE OF INSURANCE R AINSR DDL SwVD I POLICY NUMBER (MMIDD/YYYY YY)I(MM/DD�)I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X DAMAGE TO RENTED 300,000 COMMERCIAL GENERAL LIABILITY X PREMISES(Ea occurrence) $ X CLAIMS-MADE OCCUR I I MED EXP(Any one person) I$ 5,000 A PL1743888-BWI119822X 06/11/2018106/11/2019 PERSONAL BADV INJURY $ INCLUDED GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 5 3,000,000 POLICY PE& LOC ANIMAL BAILEE $ AUTOMOBILE LIABILITY F[ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ $ UMBRELLA UAB _OCCUR II- EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION WC STATU- 10TH- AND 0TH-AND EMPLOYERS'LIABILITY YIN TORY LIMITS I ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA I E.L.EACH ACCIDENT $ OFFICE/MEMBER EXCLUDED? (Mandatory In NH) I E.L.DISEASE-EA EMPLOYE$ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ � i I A Professional Liability I n [ PL1743888-BWI119822X 06/11/2018 06/11/2019 INCLUDED I i I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) It is understood and agreed that the Certificate Holder is named as Additional Insured per attached CG 20 26(Ed.04 13)-Additional Insured-Designated Person or Organization subject to all policy terms,conditions,and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. E WILL BE DELIVERED IN 2930 Wetmore Ave. Everett,WA 98201 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(2014011