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Stellar Event Rentals 6/12/2019
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Stellar Event Rentals 6/12/2019
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Entry Properties
Last modified
6/25/2019 9:06:22 AM
Creation date
6/25/2019 9:06:14 AM
Metadata
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Template:
Contracts
Contractor's Name
Stellar Event Rentals
Approval Date
6/12/2019
End Date
9/30/2019
Department
Administration
Department Project Manager
Carol Thomas
Subject / Project Title
Tent Rentals
Tracking Number
0001849
Total Compensation
$3,776.72
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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ACCPREP DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 5/28/2019 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> ARA Insurance Services, Inc. PHONE Jessica Coffey <br /> FAX <br /> 102 N.W. ParkwayLA/c No,Ext): 800-821-6580 (A/C,No):816-474-1931 <br /> Kansas City MO 6150 ADDRESS: JCoffey@arainsure.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:AXIS Insurance Company 37273 <br /> INSURED STWA003000 <br /> INSURER B: <br /> Stellar Event Rentals, Inc <br /> 1546 NE 147th St INSURER C: <br /> Shoreline WA 98155 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 1548076637 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 TYPE OF INSURANCE ADDL SUBR I POLICY EFF POLICY EXP I LIMITS <br /> LTR INSD WVD POLICY NUMBER '..(MM/DD/YYYY) (MM/DD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY Y Al STWA003-023515-08 6/12/2019 6/12/2020 EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $100,000 <br /> MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> PRO- <br /> POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO <br /> BODILY INJURY(Per person) $ <br /> I <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS (Per accident) <br /> A UMBRELLA LIAB X OCCUR A5STWA003-023517-04 6/12/2019 6/12/2020 ' EACH OCCURRENCE $2,000,000 <br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 <br /> DED X RETENTION$0 $ <br /> WORKERS COMPENSATION PER OTH- <br /> I AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Rental/Sales Inventory Al STWA003-023515-08 6/12/2019 6/12/2020 Actual Loss Sustained <br /> Special Form/Theft Deductible $1,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The certificate holder listed below is an additional insured for commercial general liability insurance to the extent that coverage is afforded by form ARAX 30 01 <br /> 08 12 attached and additional insured for auto liability. <br /> Insurance is Primary and Noncontributory per written contract. <br /> 30 Day Notice of Cancellation Applies <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, and its officers, employees and agents ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn: Carol Thomas <br /> 2930 Wetmore Ave, 10-A AUTHORIZED REPRESENTATIVE <br /> Everett WA 98201 ARA Insurance <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />
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