HomeMy WebLinkAbout20260223_PJA26-0097_COI (2) ACo® CERTIFICATE OF LIABILITY INSURANCE DATE2026 /YYYY)
02/18/2026
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 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:
Progressive Business Insurance
Progressive Casualty Insurance Company
300 N Commons Blvd W64 PHONE FAX
Mayfield Village,OH 44143 (A/C,No,Ext): 855-566-1011 (AIC,No,Ext):
888-806-9598 E-MAIL
businessinsurance@progressive.comADDRESS: Support@coterieinsurance.com
INSURED: INSURER(S)AFFORDING COVERAGE NAIC#
Buzzy Bee Coffee LLC INSURER A: Spinnaker Insurance Company 24376
12115 STATE AVE APT C209,C209 INSURER B:
MARYSVILLE,WA 98271 INSURER C:
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER REVISON 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 TYPE OF INSURANCE DDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTD INSD WVD (MM/DD/YYYY) (MM/DD/YYYY)
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
CLAIMS MADE ❑X OCCUR DAMAGE TO RENTED $50,000
PREMISES(Ea occurrence)
MED EXP(Any one person) $5,000
A X CSG-00412828-00 02/17/2026 02/17/2027
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
X POLICY ❑PROJECT ❑LOC PRODUCTS-COMP/OP AGG$2,000,000
Other:
UTOMOBILE LIABILITY: COMBINED SINGLE LIMIT(Ea
ANY AUTO accident)
BODILY INJURY(Per person)$
OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY(Per
NON-OWNED AUTOS ccident) $
HIRED AUTOS ONLY ONLY
PROPERTY DAMAGE(Per $
ccident)
UMBRELLA LIAB OCCUR EACH OCCURENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTIONS$
WORKERSaEasrnrurE wEa
COMPENSATION
AND EMPLOYERS'LIABILITY Y/N E.L.EACH ACCIDENT $
ANY PROPIETOR/PARTNER/EXECUTIVE E.L.DISEASE-EA
OFFICE/MEMBER EXCLUDER? N/A EMPLOYEE $
(Mandatory in NH)
If yes,describe under E.L.DISEASE-POLICY $
DESCRIPTION OF OPERATIONS below LIMIT
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
City of Arlington is named as an additional insured
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Arlington ACCORDANCE WITH THE POLICY PROVISIONS.
238 N Olympic Ave AUTHORIZED REPRESENTATIVE
Arlington,WA 98223
David McFarland
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD @ 1988.2015 ACORD CORPORATION.All rights reserved.