HopeWorks Station Residential LLP 4/17/2019

V __........IN HOPEW-2 OP ID: ES ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE 05102/2018 ) `,,,...� 05/0212018 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 425-948-6123 CONTACT Ed Sobczynski MHT Insurance PHONE 425-948-6123 I FAX 206-622-9727 1904 Third Ave Suite 714 (TUC,No,Ext): (AIC,No): Seattle,WA 98101 E-MAIL Edsob@mhtinsurance.com Ed Sobczynskl INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Nautilus Insurance Co.A+:XV 17370 INSURED Hopeworks Station Enterprises; INSURER B:Ohio Casualty Ins.Co.A:XV 24074 HopeWorks Station Residential LL LP INSURER C: 5830 Evergreen WAy INSURER D: Everett,WA 98203 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. IY EFF POLICY EXP LTRR TYPE OF INSURANCE INSD SUBR POLICY NUMBER (MMIDD(NYYY) (MM DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR Y NN905120 05101/2018 08/01/2019 pREM SE51Ea o cr ence) $ excluded MED EXP(Any one person) $ excluded PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY Tel' X LOC PRODUCTS-COMP/OPAGG $ excluded OTHER: Ded. $ 5,000 AUTOMOBILE LIABILITY (Ea accident)SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS NLY AUTOSULED BODILY INJURY(Per accident) $ HIREDAoOpOp PROPERTY ONLY (Per accident) $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AN051511 05/01/2018 08/0112019 AGGREGATE $ 10,000,000 DED RETENTION$ n/a $ WORKERS COMPENSATION STATUTEPER ER H AND EMPLOYERS'LIABILITY ANY PROPRIErOR/PARTNERIE CUI1VE YIN NIA E L.EACH ACCIDENT $ ulFandatory in NHR EXCLUDED? E L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ B Excess of Excess EC058774817 05/01/2018 08/01/2019 Each Occ. 10,000,000 Agg reg ate 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: Owner's Liability for construction of 4 story+basement mixed use building at 3315 Broadway,Everett WA 98201 Certificate Holder is additonal insured per Form CG2018 04 13.Cancellation provisions apply per attached Form IL 0017 11/98. CERTIFICATE HOLDER CANCELLATION EVERETI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. clo Planning &Community Dev. 2930 Wetmore,Ste 8A AUTHORIZED REPRESENTATIVE Everett,WA 98201 1 ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD