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ACCORD <br /> ® DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 05/01/2019 <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 Cami Dennis <br /> NAME: <br /> TRC Insurance (A/CNNo EM): (877)637-1858 FAX <br /> No): (425)818-2950 <br /> 12015 115th Ave NE E-MAIL cami@trcisu.com <br /> ADDRESS: <br /> Suite 240 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Kirkland WA 98034 INSURER A: American Alternative Insurance Corp <br /> INSURED INSURER B: _ <br /> Hand In Hand INSURER C: <br /> 14 E Casino Rd Ste E. INSURER D: <br /> INSURER E: <br /> Everett WA 98208 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 18/19 GL/EL/PL/ABUSE 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 LTR IA SD WVD POLICY NUMBER POLICY EFF POLICY EXP UMITS <br /> TYPE OF INSURANCE (MMIDD/Yl'YY) (MM/ODlYYYY) <br /> X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCEDAMAGE T $ 1,000,000 <br /> CLAIMS-MADE X OCCUR PREM SESO(Ea occurRENTErence) $ 1,000,000 <br /> MED EXP(Any one person) $ 15,000 <br /> A Y 99A2CP0003717-02 10/01/2018 10/01/2019 PERSONAL BADV INJURY $ 1'000'000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 <br /> O- <br /> X POLICY JPRO LOC PRODUCTS-COMP/OPAGG $ 3,000,000 <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY _ AUTOS ONLY (Per accident) <br /> UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ _ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- WA Stop Gap ONLY <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> Y/N 1,000,000 <br /> A OANY PROPRIETOR/PARTNER/EXECUTIVE N/A 99A2CP0003717-02 10/01/2018 10/01/2019 E.L.EACH ACCIDENT $ <br /> OFFFFICER/MEMBMEMBER EXCLUDED? - <br /> (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , <br /> PER INCIDENT $1,000,000 <br /> A Professionalbuse& o Liability 99A2PL0011164-02 10/01/2018 10/01/2019 POLICY AGGREGATE $3,000,000 <br /> Abuse 8 Molestation <br /> DEDUCTIBLE $1,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Everett,its officers,emploees and agents are additional insured <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 /> City of Everett;Dept of Planning&Community ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Development — —, <br /> AUTHORIZED REPRESENTATIVE <br /> 2930 Wetmore Ave Ste.8A <br /> Everett WA 98201-4044 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />