SH16-008 Prof. Agreement - Shuknecht's Polygraph Service

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� , i-. R � CERTIFICATE OF LIABILITY INSURANCEF1/26/ D IDDIYYYY) 2016 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(les) must 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 CONTACT NAME: V]VickiB03er InsuranceTek, Inc. PHONE (ggg) 505-1555 AX Ne: (800)521-1528 CA #OE32789 EMAIL ADDRESS: Info@Insurance-tek.com INSURERS AFFORDING COVERAGE NAIC # PO BOX 70 INSURER A: Western Heritage Ins Co Snohomish WA 98291-0070 INSURED Richard A. Schuknecht INSURER B: Schuknecht's P.O.F. Polygraph Service INSURERC: INSURER D: 413 N 2nd St INSURER E : AUTOMOBILE Yakima WA 98901 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1612652615 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDIYYYY) POLICY EXP (MMIDD/YYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7xOCCUR X PROFESSIONAL E&O SCP0988600-371 /4/2016 2/4/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 X BLANKET ADDL INSURED GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ INCLUDED PROFESSIONALE&0 $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO ALLOWNED _ - ___ SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS - - - COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ -BODILY INJURY(Peraccldent) $ — — PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATIONWC AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) GCRI lritjAIa PIULUCR GANG CLLAI IVN Verification of Insurance ACORD 25 (2010/05) INS025 ontnmF nt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE cki Boser/DAWSON �c,�r aL -.V—e ��Icl- i ©1988-2010 ACORD CORPORATION. All rights reserved. Tha Arr)Pn nama and Innn ara ranicfararl marlrc of Arr1Rr1