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Home My WebLink AboutCertificate of InsuranceACRLCERTIFICATEOFLIABILITYINSURANCETHISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S),AUTHORIZEDREPRESENTATIVEORPRODUCER,ANDTHECERTIFICATEHOLDER.IMPORTANT:IfthecertificateholderisanADDITIONALINSURED,thepolicy(ies)mustbeendorsed.IfSUBROGATIONISWAIVED,subjecttothetermsandconditionsofthepolicy,certainpoliciesmayrequireanendorsement.Astatementonthiscertificatedoesnotconferrightstothecertificateholderinlieuofsuchendorsement(s).CONTACTPRODUCERNAME:RoxanneHarrellPHONEFAXINTEGRITYUNDERWRITERS,INC.tNcNU-454-2155IIAIC,Nol:717-561-17945300DERRYSTREETE-MAIL99figSSI..COiW51erflpacificmUllJR[cornHARRISBURG,PA17111INSURERISIAFFORDINGCOVERAGENAICPINSURERA:WesternPacificMutualInsuranceCompany,aRRG40940INSUREDINSURERE:CALLIDUSDEVELOPMENT.INC.INSURERC:dbaSAPPHIREHOMES,INC.-__________________________________________INSURER0:16805SE43rdCOURTBELLEVUE,WA98006INSURERB:INSURERF:COVERAGESCERTIFICATENUMBER:REVISIONNUMBER:1NSRIADDLSUBRPOLICYEFFPOLICYEXPLTRTYPEOFINSURANCEINSRWVDPOLICYNUMBERIMMIODCrYYY’(MWDDIYVYYILIMITSGENERALLIABILITYIEACHOCCURRENCES1,000,000IDAMAGETORENTED..COMMERCIALGENERALLIABILITYPREMISES(EaocoirrencelS100,000CLAIMS-MADEOCCURI‘‘IMEDEXPIAPYonepersopIS5,000WP460005661910/01/201910/01/2020PERSONAL&ADVINJURY$1,000,000GENERALAGGREGATES2,000,000GEN’LAGGREGATELIMITAPPLIESPERPRODUCTS-COMP/OPAGG$2.000.000POLICYTi‘riLOC—]SAUTOMOBILELIABILITY—COMBINEDSINGLELIMIT[ANYAUTOBODILYINJURY(PeVpetson)STALLOlofl’4EDSCHEDULEDBODILYINJURY(Peraccident$NON-OWNEDPROPERTYDAMAGE. ._HIREDAUTOSAUTOS(Peraccident)—UMBRELLALIABIOCCUREACHOCCURRENCESEXCESSLIABCLAIMS-MADEAGGREGATEDEDRETENTIONS—SWORKERSCOMPENSATIONWOSTATU-0TH-ANDEMPLOYERSLIABILITYNTORYLIMITSERANYPROPRIETORIPARTNERIBXECUTIVES.CEACHACCIDENTSOFFICE/MEMBEREXCLUDED’NIAIIMandatoryinNHIE.LDISEASE-EAEMPLOYESIIyes,descr.beunderDESCRIPTIONOFOPERATIONSbelow——ELDISEASE-POLICYLIMITSTiEDESCRIPTIONOFOPERATIONSILOCATIONSI‘VEHICLESlAttachACORn151,AdditionalRemarksSchedule,IfmorespaceIsrequtredlTHECERTIFICATEHOLDERINDICATEDBELOWISHEREBYINCLUDEDASANADDITIONALINSUREDPERTHEPOLICY.”CERTIFICATEHOLDERCANCELLATIONCITYOFRENTONSHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORETHEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVEREDIN1055SOUTHGRADYWAYACCORDANCEWITHThEPOLICYPROVISIONS.RENTON,WA98055AUTHORIZEDREPRESENTATIVEDATE(MMIDDIYYYVI10/22/2019THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIODINDICATED.NOTTMTHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTIMTHRESPECTTOWHICHTHISCERTIFICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMS,EXCLUSIONSANDCONDITIONSOFSUCHPOLICIES.LIMITSSHOWNMAYHAVEBEENREDUCEDBYPAIDCLAIMS©99882b10ACORDCORPORATION.Allrightsreserved.TheACORDnameandlogoareregisteredmarksofACORDACORD25(2010105)