Laserfiche WebLink
/ 1 ® DATE(MM/DD/YYYY) <br /> AWRI CERTIFICATE OF LIABILITY INSURANCE <br /> 06/26/2018 <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 /> NAME: <br /> Parker,Smith&Feek, Inc. PHONE 425-709-3600 FAXAIX,Not:425-709-7460 <br /> 2233 112th Avenue N E <br /> AA/C. Est): <br /> Bellevue,WA 98004 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC N <br /> INSURER A: Arch Specialty Insurance Company <br /> INSURED INSURER B: Allmerica Financial Benefit Insurance <br /> Pacific Security <br /> 2009 Iron Street INSURER C: <br /> Bellingham,WA 98225 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 POLICY EFF POLICY EXP LIMITS <br /> LTR INSR VD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) <br /> A GENERAL LIABILITY BSPKG2051514 6/27/2018 6/27/2019 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED 100,000 <br /> X COMMERCIAL GENERAL LIABILITY X PREMISES(Ea occurrence) $ <br /> X CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 <br /> X Errors&Omissions PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 5,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 5,000,000 <br /> X POLICY 'r LOC $ <br /> B AUTOMOBILE LIABIUTY AW2A66503104 6/27/2018 6/27/2019 (a aocideE)INGLE LIMIT j 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) <br /> A UMBRELLA LIAB X OCCUR BSPKG2078312 6/27/2018 6/27/2019 EACH OCCURRENCE $ 3,000,000 <br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3.000,000 <br /> DED X RETENTION$ 10,000WORKERS <br /> $ <br /> A AND EMPLOYERS'LIABILITY YIN ION BSPKG2051514 WC STATU-6/27/2018 6/27/2019 TORYLIMITSX ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE WA Stop Gap E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> Security Agreement.City of Everett,and its officers,employees and agents are an additional insured on the general liability policy per the attached <br /> endorsement/form. <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 /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City of Everett <br /> 2930 Wetmore Avenue AUTHORIZED REPRESENTATIVE <br /> Everett,WA 98201 <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />