EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DATE … · 2017-06-05 · insured interest identified 30 days written notice, 10 days for non-payment, and will send notification of any

HomeState: WA

X

$17,391,770

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EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DATE (MM/DD/YYYY)

04/22/2016

THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCER NAME PHONE COMPANY NAME AND ADDRESS NAIC NO:

HUB International Northwest LLC 12100 NE 195th Suite 200 Bothell, WA 98041 License #: 165571 Phone: (425) 368-1200 Fax: (425) 368-1290

REFER TO APPENDIX(ES) LISTED AND ATTACHED HERETO FOR SCHEDULEOF PRTICIPATING INSURANCE COMPANIES AND POLICY NUMBERS.APPENDIX(ES) CAN ALSO BE FOUND AT WWW.CIBASERVICES.COM:

BP && PL CODE: 729 / HCJ SUB CODE:

AIN: 23102P/Villa Marina Association Of Apartment Owners IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH

NAMED INSURED AND ADDRESS Villa Marina Association Of Apartment Ownersc/o Michele Bouvet Responsive Property ManagementP.O. Box 845Woodinville, WA 98072

LOAN NUMBER

POLICY NUMBER

AIN23102 EFFECTIVE DATE

01/06/2016 EXPIRATION DATE

01/06/2017 CONTINUED UNTIL TERMINATED IF CHECKED

ADDITIONAL NAMED INSURED(S)

THIS REPLACES PRIOR EVIDENCE DATED:

PROPERTY INFORMATION (Use additional sheets if more space is required) LOCATION DESCRIPTION PID #: P00042692 17104-17412 NE 45th Street, Redmond, WA 98053-5636 PER SCHEDULE OF LOCATIONS ATTACHED. LOCATIONS SUBJECT TO ENDORSEMENTS AS ATTACHED.

COVERAGE INFORMATION CAUSE OF LOSS FORM X BASIC X BROAD X SPECIAL X OTHER

COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: per occurrence DED: $10,000

YES NO

BUSINESS INCOME / RENTAL VALUE (incl Extra Expense) X If YES, INCLUDED X Actual Loss Sustained # of months

BLANKET COVERAGE X If YES, indicate amount of insurance on properties identified above: $

TERRORISM COVERAGE X Attach signed Disclosure Notice / DEC

IS COVERAGE PROVIDED FOR "CERTIFIED ACTS" ONLY? If YES, DED:

IS COVERAGE A STAND ALONE POLICY? If YES, DED:

DOES COVERAGE INCLUDE DOMESTIC TERRORISM? If YES, DED:

COVERAGE FOR MOLD X If YES, $10,000 DED: $10,000

MOLD EXCLUSION (If "YES", specify organizations's form used) XREPLACEMENT COST XAGREED AMOUNT XCOINSURANCE X If YES, %

EQUIPMENT BREAKDOWN (If Applicable) X If YES, $7,500,000 DED: $10,000

LAW AND ORDINANCE - Coverage for loss to undamaged portion of building X If YES, INCLUDED DED: $10,000

- Demolition Costs X If YES, REFER TO ENDORSEMENT DED: $10,000

- Incr. Cost of Construction X If YES, REFER TO ENDORSEMENT DED: $10,000

EARTHQUAKE (if Applicable) X If YES, DED:

FLOOD (if Applicable) X If YES, DED:

WIND / HAIL (if Separate Policy) If YES, DED: REFER TO ENDORSEMENT

PERMISSION TO WAIVE SUBROGATION PRIOR TO LOSS X REMARKS - Including Special Conditions (Use additional sheets if more space is required) Business Income / Rental Value (including Extra Expense): EXTENDED PERIOD OF INDEMNITY IS 180 DAYS, UNLESS AMENDED BY ENDORSEMENT ATTACHED TO THIS EVIDENCE. REFER TO ATTACHED REMARKS SECTION CANCELLATION THE POLICIES ARE SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY(IES) BE TERMINATED, THE COMPANY(IES) WILL GIVE THE INSURED INTEREST IDENTIFIED 30 DAYS WRITTEN NOTICE, 10 DAYS FOR NON-PAYMENT, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW.

ADDITIONAL INTEREST NAME AND ADDRESS

LENDER SERVICING AGENT NAME AND ADDRESS

MORTGAGEE 438BFUNS Applies AUTHORIZED REPRESENTATIVE

LOSS PAYEE

ACORD 28 (2003/10) (c) ACORD CORPORATION 2003AIN: 23102 / PID: P00042692 Page 1 of 2

SCHEDULE OF LOCATIONS:

LOC/BLDG ADDRESS/DESCRIPTION

PROPERTY TYPEYEAR BUILTSPRINKLERS

CONSTRUCTION TYPENUM OF BUILDINGSNUM OF STORIES

REALPROPERTYVALUE

LOSS OFINCOME VALUE

BUSINESSPERSONALPROPERTY VALUE

PARKINGVALUE TIV

Primary 17104-17412 NE 45th StreetRedmond, WA 98053-5636

Condominium/HOA1968None

ISO 1 - Frame025 Bldgs + 002 Park002 Flrs + 000 Bsmt + 000 Park

$16,871,170 $500,000 $20,600 $0 $17,391,770

ENDORSEMENTS APPLICABLE (refer to full endorsement wording attached hereto):IN ADDITION TO THE MASTER POLICY ENDORSEMENTS, THE FOLLOWING ADDITIONAL ENDORSEMENTS APPLY TO THIS LOCATION (IF APPLICABLE):

Effective Date: Removal Date: Endorsement No.: Endorsement Name:01/06/2016 03 CCE-001 CO 0315 CYBERONE COVERAGE AND DATA COMPROMISE COVERAGE

01/06/2016 01 WHC-001 EX 0315 EXCLUSION - COSMETIC LOSS TO ROOF COVERINGS OR SIDING

01/06/2016 01 DCI-1.0M LI 0315 DEMOLITION, ICC, INCREASED LOSS OF INCOME DUE TO BUILDING ORDINANCE COMBINED SINGLE SUB-LIMIT

01/06/2016 01 HOA-011 LI 0315 LOSS OF INCOME COVERAGE LIMITED TO CONDOMINIUM FEE INCOME ONLY

01/06/2016 01 BRC-125 LI 0315 REAL PROPERTY REPLACEMENT COST LIMITATION (125% of Scheduled Value)

01/06/2016 01 MEP-025 OT 0315 MINIMUM EARNED PREMIUM

TAXABLE PROPERTY PREMIUM: SURPLUS LINES TAXES:NON-TAXABLE PROPERTY PREMIUM: STAMPING FEES: TAXABLE LIABILITY TERRORISM: FIRE MARSHALL TAX: NON-TAXABLE LIABILITY TERRORISM: STATE SURCHARGES:

ADD'L STATE/MUNICIPAL CHARGES:

AIN: 23102/PID:P00042692 - Page 2 of 2

TO BE ATTACHED TO AND FORM PART OF THE EVIDENCE OR CERTIFICATE OF INSURANCE ISSUED TO:

Villa Marina Association Of Apartment Owners17104-17412 NE 45th Street Redmond WA 98053-5636

Applicable To: AIN/PID Number: 23102P/PID #: P00042692 PropertyPolicy Number: Refer to Appendix

03 CCE-001 CO 0315

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CYBERONE COVERAGE AND DATA COMPROMISE COVERAGEIn consideration of a premium charged, it is agreed that following coverage change applies, but only to coverage provided at insured locations identified by property identification numbers where the Declarations Page or Evidence of Commercial Property Insurance issued to the Named Insured states that this endorsement applies.

CyberOne Coverage (Network Security Liability) and Data Compromise Coverage (Response Expenses and Defense and Liability) are included as provided in the following coverage forms:

CyberOne Coverage - Form Number 01 C1 0314Data Compromise Coverage - Form Number 03 DC 0314

Limits Apply "Per Account - Not "Per Location"If a covered cause of loss occurs at more than one location in the same occurrence, the Limits of Liability in the CyberOne Coverage Form and the Data Compromise Coverage Form are the most that the Company will pay for each "Account", irrespective of the number of locations included in an "Account".

Definition:

"Account" means the sum of all insured locations that are identified with the same Account Identification Number (AIN) in the Declarations Page or Evidences Of Commercial Property Insurance that are issued for those insured locations.

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED

Countersigned

03 CCE-001 CO 0315




01 WHC-001 EX 0315


EXCLUSION - COSMETIC LOSS TO ROOF COVERINGS OR SIDINGIn consideration of a premium charged, it is agreed that following coverage change applies, but only to coverage provided at insured locations identified by property identification numbers where the Declarations Page or Evidence of Commercial Property Insurance issued to the Named Insured states that this endorsement applies.

A. In Section 7. PERILS EXCLUDED, under paragraph a. the following is added:

Cosmetic Loss "Cosmetic loss" to "roof covering" or "siding" caused directly or indirectly by Windstorm or Hail.

B. ADDITIONAL DEFINITIONS

As used throughout this endorsement;

1. "Cosmetic Loss" means loss or damage that alters the physical appearance but does not result in the failure to perform the intended function of keeping out elements over an extended period of time.

2. "Roof Covering" means: a. The roof material exposed to the weather: b. The underlayments applied for moisture protection; c. All flashings required in the replacement of the roof covering.

3. "Siding" means the materials exposed to the weather providing exterior protection to the walls of a building or structure.


Countersigned

03 CCE-001 CO 0315




01 DCI-1.0M LI 0315


DEMOLITION, ICC, INCREASED LOSS OF INCOME DUE TO BUILDINGORDINANCE COMBINED SINGLE SUB-LIMIT

In consideration of a premium charged, it is agreed that following coverage change applies, but only to coverage provided at insured locations identified by property identification numbers where the Declarations Page or Evidence of Commercial Property Insurance issued to the Named Insured states that this endorsement applies.

It is hereby agreed that all coverage for building ordinance coverages:

B. Demolition

C. Increased Cost of Construction

D. Increased Loss of Income

are subject to a single, combined sublimit of $1,000,000 for the property to which this endorsement applies.


Countersigned

03 CCE-001 CO 0315




01 HOA-011 LI 0315


LOSS OF INCOME COVERAGE LIMITED TO CONDOMINIUM FEE INCOMEONLY


It is agreed that section 6. COVERAGE, subsection B. LOSS OF INCOME, paragraph (1) in the All Risk Property Coverage Form is deleted and replaced by

b. LOSS OF INCOME

(1) This policy is extended to cover loss the ACTUAL LOSS OF INCOME SUSTAINED by the Named Insured resulting directly from the necessary untenantability caused by loss, damage, or destruction by any of the perils covered herein during the term of the policy to real or personal property as described in clause 7.a., but not exceeding the reduction in income less charges and expenses which do not necessarily continue during the period of untenantability, not to be limited by the expiration date of this policy.

For the purpose of this insurance "income" is defined as income from loss of monthly condominium fees.


Countersigned

03 CCE-001 CO 0315




01 BRC-125 LI 0315


REAL PROPERTY REPLACEMENT COST LIMITATION (125% of ScheduledValue)


The following limitations apply only to Real Property at the location described in the Declarations Page or Evidence of Commercial Property Insurance to which this endorsement is attached:

1. The Limit of Insurance for Real Property is 125% of the Real Property Value and Real Property Parking Value (if applicable) for the location that is stated under "Schedule of Locations" in Page 2 of the Declarations Page or Evidence of Commercial Property Insurance to which this endorsement is attached.

2. Any amount payable under the applicable sublimit for Demolition Cost and Increased Cost of Construction is part of and not addition to the Limit of Insurance for Real Property.

3. Section 9. VALUATION, paragraph d. (3) in the All Risk Property Coverage Form is amended to read:

(3) The Company will not pay more on a replacement cost basis than the least of

(a) The cost to replace, on the same site, the lost or damaged real property with other property of comparable material and quality which is used for the same purpose; or

(b) The amount actually spent by the Insured that is necessary to repair or replace the lost or damaged property.

(c) 125% of the Real Property Value and Real Property Parking Value (if applicable) for the location that is stated under "Schedule of Locations" in Page 2 of the Declarations Page or Evidence of Commercial Property Insurance to which this endorsement is attached._________________________________________________________________________________________________________

IMPORTANT NOTICE

This policy may not provide full replacement cost coverage in the event of damage to or destruction of covered property. The Building Replacement Cost Limitation endorsement caps the policy Real Property limit at 125% of the Real Property and Real Property Parking Value (if applicable) for the locations listed on the Schedule of Locations. The Real Property value declared by you is an estimated replacement cost figure based on general information about the insured property. This is not a guarantee that this figure will represent the actual cost to replace the property of it is significantly damaged or destroyed. The actual replacement cost can be impacted by multiple factors including inflation, improvements to the property, and the increased cost of building materials and supplies after a wide-spread disaster. It is your responsibility to select the appropriate Real Property value. If you have questions or concerns regarding the Real Property Value, you should consider obtaining a real estate appraisal or contractor estimate of the Real Property's replacement cost.


Countersigned

03 CCE-001 CO 0315




01 MEP-025 OT 0315


MINIMUM EARNED PREMIUMIn consideration of a premium charged, it is agreed that following coverage change applies, but only to coverage provided at insured locations identified by property identification numbers where the Declarations Page or Evidence of Commercial Property Insurance issued to the Named Insured states that this endorsement applies.

A minimum earned premium equal to twenty five per cent (25%) of the annual premium applies to the Declarations Page or Evidence of Commercial Property Insurance to which this endorsement is attached, once the Declarations Page or Evidence of Commercial Property Insurance becomes effective. No flat cancellation is allowed.


Countersigned

03 CCE-001 CO 0315

APPENDIX "BP"BASIC PROPERTY

COMMERCIAL INDUSTRIAL BUILDING OWNER'S ALLIANCE, INC.MARCH 31, 2015 - MARCH 31, 2017

SCHEDULE OF PARTICIPATING INSURANCE COMPANIES

Layer Market Perils %Limit POLICY # AdmittedNon-Admitted

This Schedule sets forth the participating insurers to the Insurance Program provided as part of your membership with CIBA. Please review carefully and understand that the Limits set forth below are available jointly to all CIBA Named Insureds (of which you are one) COLLECTIVELY and

demonstrate the maximum combined available amount which may be payable to all CIBA Named Insureds Combined for Covered Damages arising out of one single loss or loss occurrence.

Furthermore, it is understood that for all Loss Occurrences that exceed US $1,000,000,000 (US$ One Billion) coverage hereon will respond upon a Per Insured basis.

For any insurer set forth below, whose participation is subject to an aggregate Limit for any specific peril, coverage, or participation, then that Limit is the maximum amount payable to all CIBA Named Insureds combined for the term for the contract identified below, for that Insurers participation. Once that Limit has been exhausted in accordance with the Policy contract terms, then the insurer set forth below will no longer have any further

Liability under this Insurance contract.

Notwithstanding the foregoing, please note that coverage under Named Insureds' Total Insured Value (TIV) Limits in Excess of $1,000,000,000 any one loss occurrence is without Limitation and will respond Per Insured, Per Loss Occurrence.

Notwithstanding the available collective Limits set forth below, the individual limits and sublimits set forth in the Member Insurance Contract, to which this Schedule is attached and incorporated therein by reference, are the only limits available for any one Named Insured and their identified insured

locations(s) identified by the property identification numbers (PID).

ALL RISK - PER OCCURRENCE, WITH UNLIMITED REINSTATEMENTS DURING THE POLICY PERIOD

PRIMARYGREAT LAKES REINSURANCE (UK) SE AR EXCL EQ FL B066479244A12 Non-Admitted$10,000,000 100%

100%$10,000,000

EXCESS LIMIT 20M x 10MEVANSTON INSURANCE COMPANY AR EXCL EQ FL MKLS14XP004504 Non-Admitted$2,000,000 10%

ASPEN SPECIALTY INSURANCE COMPANY AR EXCL EQ FL PXA9U1W15A0G Non-Admitted$2,500,000 12.5%

INDIAN HARBOR INSURANCE COMPANY AR EXCL EQ FL PRO 0037150-03 Non-Admitted$3,000,000 15%

STARR SURPLUS LINES INSURANCE COMPANY AR EXCL EQ FL SLSTPTY10727215 Non-Admitted$4,500,000 22.5%

HOMELAND INSURANCE COMPANY OF NEW YORK AR EXCL EQ FL 795002959 New York Only$3,000,000 15%

IRONSHORE SPECIALTY INSURANCE COMPANY / IRONSHORE INDEMNITY INC (AZ ONLY) - EFF 3/31/2015 - 9/30/2015

AR EXCL EQ FL 001624102 / 001624202 Non-Admitted$5,000,000 25%


AR EXCL EQ FL 001624103 / 001624203 Non-Admitted%

100%$20,000,000

EXCESS LIMIT 30M x 30MCERTAIN UNDERWRITERS AT LLOYD'S, LONDON - BRIT SYNDICATE 2987 AR EXCL EQ FL PD-10157-01 Non-Admitted$13,500,000 45%


GREAT LAKES REINSURANCE (UK) SE AR EXCL EQ FL B1230AP01952A15 Non-Admitted$4,500,000 15%

100%$30,000,000

EXCESS LIMIT 40M x 60MEVANSTON INSURANCE COMPANY AR EXCL EQ FL MKLS14XP004504 Non-Admitted$8,000,000 20%

ARCH SPECIALTY INSURANCE COMPANY AR EXCL EQ FL ESP0054088-02 Non-Admitted$5,000,000 12.5%




LIBERTY SURPLUS INSURANCE CORPORATION AR EXCL EQ FL 1000092292-03 Non-Admitted$5,000,000 12.5%

100%$40,000,000

EXCESS LIMIT 100M x 100MHOMELAND INSURANCE COMPANY OF NEW YORK AR EXCL EQ FL 795002962 New York Only$43,500,000 43.5%


04/19/2016BASIC



AR EXCL EQ FL 001633502 / 001633602 Non-Admitted$26,500,000 26.5%



100%$100,000,000

EXCESS LIMIT 200M x 200MARCH SPECIALTY INSURANCE COMPANY AR EXCL EQ FL ESP0054085-02 Non-Admitted$20,000,000 10%

ASPEN SPECIALTY INSURANCE COMPANY AR EXCL EQ FL PXAC92U15A0P Non-Admitted$10,000,000 5%

EVEREST INDEMNITY INSURANCE COMPANY AR EXCL EQ FL CA3X000837-151 Non-Admitted$40,000,000 20%

CERTAIN UNDERWRITERS AT LLOYD’S, LONDON - ACE GLOBAL MARKET 2488 AR EXCL EQ FL GEP 3461 Non-Admitted$25,000,000 12.5%


HOMELAND INSURANCE COMPANY OF NEW YORK AR EXCL EQ FL 795002963 New York Only$11,500,000 5.75%


AR EXCL EQ FL 002337600 / 002337700 Non-Admitted$8,500,000 4.25%



CERTAIN UNDERWRITERS AT LLOYD’S, LONDON - QBE SYNDICATE 1886 AR EXCL EQ FL B0775CPC265215 Non-Admitted$20,000,000 10%

STEADFAST INSURANCE COMPANY AR EXCL EQ FL XPP 5532866-01 Non-Admitted$20,000,000 10%

WESTCHESTER SURPLUS LINES INSURANCE COMPANY - EFF 3/31/2015 - 9/30/2015 AR EXCL EQ FL D3743310A 001 Non-Admitted$15,000,000 7.5%

WESTCHESTER SURPLUS LINES INSURANCE COMPANY - EFF 9/30/2015 - 3/31/2017 AR EXCL EQ FL D3743310A 002 Non-Admitted%

100%$200,000,000

EXCESS LIMIT 100M x 400MCERTAIN UNDERWRITERS AT LLOYD'S, LONDON - BRIT SYNDICATE 2987 AR EXCL EQ FL PD-10157-01 Non-Admitted$7,750,000 7.75%



LANDMARK AMERICAN INSURANCE COMPANY AR EXCL EQ FL LHD 391600 Non-Admitted$32,680,000 32.68%

MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA AR EXCL EQ FL EXP7000151 Admitted$28,570,000 28.57%

100%$100,000,000

EXCESS LIMIT 250M x 500MMITSUI SUMITOMO INSURANCE COMPANY OF AMERICA AR EXCL EQ FL EXP7000151 Admitted$71,430,000 28.57%

STARR SURPLUS LINES INSURANCE COMPANY AR EXCL EQ FL SLSTPTY10727215 Non-Admitted$178,570,000 71.43%

100%$250,000,000

EXCESS LIMIT 250M x 750MLANDMARK AMERICAN INSURANCE COMPANY AR EXCL EQ FL LHD 391601 Non-Admitted$250,000,000 100%

100%$250,000,000

Named Insureds' Total Insured Value (TIV) Limits in Excess of $1,000,000,000 any one loss occurrence, up to the limits stated on the Declaration page of the Member Policy (AIN)

GREAT LAKES REINSURANCE (UK) SE AR EXCL EQ FL B066479244A12 (Per Limit Stated Above)

Non-Admitted100%

100%

ADDITIONAL EXCESSCERTAIN UNDERWRITERS AT LLOYD'S, LONDON - BRIT SYNDICATE 2987 AR EXCL EQ FL PD-10157-01 Non-Admitted$3,750,000 50%

PARTNER RE IRELAND INSURANCE LIMITED AR EXCL EQ FL F545547 Non-Admitted$3,750,000 50%

100%$7,500,000

ADDITIONAL EXCESSATAIN SPECIALTY INSURANCE COMPANY AR EXCL EQ FL GEP 3462 New York Only$5,000,000 50%


100%$10,000,000

ADDITIONAL EXCESSGREAT LAKES REINSURANCE (UK) SE AR EXCL EQ FL B066479244A12 Non-Admitted$10,000,000 100%

100%$10,000,000

$7.5 MILLION EQUIPMENT BREAKDOWNGREAT LAKES REINSURANCE (UK) SE B&M B066479244A12 Non-Admitted$7,500,000 100%

100%$7,500,000

04/19/2016BASIC

Several Liability:PLEASE NOTE – This notice contains important information. PLEASE READ CAREFULLYThe liability of an insurer under this contract is several and not joint with other insurers party to this contract. An insurer is liable only for the proportion of liability it has underwritten. An insurer is not jointly liable for the proportion of liability underwritten by any other insurer. Nor is an insurer otherwise responsiblfor any liability of any other insurer that may underwrite this contract. The proportion of liability under this contract underwritten by an insurer (or, in the case of a Lloyd’s syndicate, the total of the proportions underwritten by all themembers of the syndicate taken together) is shown above. In the case of a Lloyd’s syndicate, each member of the syndicate (rather than the syndicate itself) is an insurer. Each member has underwritten a proportion of the total shown for the syndicate (that total itself being the total of the proportions underwritten by all the members of the syndicate taken together). The liabilityof each member of the syndicate is several and not joint with other members. A member is liable only for that member’s proportion. A member is not jointly liabfor any other member’s proportion. Nor is any member otherwise responsible for any liability of any other insurer that may underwrite this contract. The business address of each member is Lloyd’s, One Lime Street, London EC3M 7HA. The identity of each member of a Lloyd’s syndicate and their respective proportion may be obtained by writing to Market Services, Lloyd’s, at the above address. Although reference is made at various points in this clause to “this contract” in the singular, where the circumstances so require this should be read as a reference to contracts in the plural.

04/19/2016BASIC

WC STATU-TORY LIMITS

OTH-ER

CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY)

04/22/2016

PRODUCER

HUB International Northwest LLC12100 NE 195thSuite 200Bothell, WA 98041 License #: 165571Phone: (425) 368-1200 Fax: (425) 368-1290

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.

INSURERS AFFORDING COVERAGE NAIC # INSURED

Villa Marina Association Of Apartment Ownersc/o Michele Bouvet Responsive Property ManagementP.O. Box 845Woodinville, WA 98072

REFER TO APPENDIX(ES) LISTEDAND ATTACHED HERETO FOR SCHEDULE OF PARTICIPATING INSURANCE COMPANIES AND POLICY NUMBERS. APPENDIX(ES) CAN ALSO BE FOUND AT WWW.CIBASERVICES.COM: BP && PL

COVERAGES 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 REQUIREMNET, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ORMAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUTIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSRLTR

ADD'LINSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE

DATE (MM/DD/YYYY)POLICY EXPIRATIONDATE (MM/DD/YYYY) LIMITS

GENERAL LIABILITY

Refer to Appendix 01/06/2016 01/06/2017

EACH OCCURRENCE $ 1,000,000

X COMMERCIAL GENERALLIABILITY

DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000

CLAIMS MADE X OCCUR MED EXP (Any one person) $ EXCLUDED

X Deductible - $2,500 PERSONAL & ADV INJURY $ 1,000,000

GENERAL AGGREGATE $ 2,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000

POLICY PRO-JECT X LOC $

AUTOMOBILE LIABILITY

Refer to Appendix 01/06/2016 01/06/2017

COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000

ANY AUTO

ALL OWNED AUTOS BODILY INJURY (Per person) $

SCHEDULED AUTOS

X HIRED AUTOS BODILY INJURY (Per accident) $

X NON-OWNED AUTOS

PROPERTY DAMAGE (Per accident) $

GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $

ANY AUTO :OTHER THAN EA ACC :AUTO ONLY: AGG

$

$

EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $

CLAIMS MADE OCCUR AGGREGATE $

$

DEDUCTIBLE $

RETENTION $ $

WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Madatory in NH) If yes, describe under SPECIAL PROVISIONS below

E.L. EACH ACCIDENT $

E.L. DISEASE - EA EMPLOYEE $

E.L. DISEASE - POLICY LIMIT $

OTHER Pollution - Claims Made Policy

Refer to Appendix

01/06/2016

01/06/2017

Deductible: $25,000 $250,000 per Occ Per Account $2,000,000 Group Annual Aggregate

DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS PID #: P00042692 17104-17412 NE 45th Street, Redmond, WA 98053 PERSCHEDULE OF LOCATIONS ATTACHED. LOCATIONS SUBJECT TO ENDORSEMENTS AS ATTACHED.

CERTIFICATE HOLDER CANCELLATION THE POLICIES ARE SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY(IES) BE TERMINATED, THE COMPANY(IES) WILL GIVE THE INSURED INTEREST IDENTIFIED 30 DAYS WRITTEN NOTICE, 10 DAYS FOR NON- PAYMENT, AND WILL SEND NOTIFICATINO OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISION OR AS REQUIRED BY LAW. REPRESENTATIVES

AUTHORIZED REPRESENTATIVE

ACORD 25 (2009/01) (c)1988-2009 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORD

Page 1 of 3

Y/N

SCHEDULE OF LOCATIONS:

LOC/BLDG ADDRESS/DESCRIPTION PROPERTY TYPE/OCCUPANCYIND/COMMSQ FT RETAIL SQ FT RES SQ FT

PARKINGSQ FT

NO OFUNITS

NO OFPOOLS

Primary 17104-17412 NE 45th StreetRedmond, WA 98053-5636

Condominium/HOA: 0 0 167,000 0 180 1

ENDORSEMENTS APPLICABLE (refer to full endorsement wording attached hereto):IN ADDITION TO THE MASTER POLICY ENDORSEMENTS, THE FOLLOWING ADDITIONAL ENDORSEMENTS APPLY TO THIS LOCATION (IFAPPLICABLE):

Effective Date Removal Date Endorsement No. Endorsement Name01/06/2016 02 MPF-001 CO 0315 GENERAL LIABILITY FORMS ENDORSEMENT

01/06/2016 02 DWP-001 EX 0315 DESIGNATED WORK PERFORMED (RESIDENTIAL WORK - INCLUDING APARTMENT CONVERSIONS)ENDORSEMENT

01/06/2016 02 MAR-001 EX 0315 MARINE EXCLUSION

01/06/2016 02 MEP-025 OT 0315 MINIMUM EARNED PREMIUM ENDORSEMENT

TAXABLE PROPERTY PREMIUM: SURPLUS LINES TAXES:NON-TAXABLE PROPERTY PREMIUM: STAMPING FEES: TAXABLE LIABILITY TERRORISM: FIRE MARSHALL TAX: NON-TAXABLE LIABILITY TERRORISM: STATE SURCHARGES:

ADD'L STATE/MUNICIPAL CHARGES:

Page 2 of 3

Page 3 of 3



Applicable To: AIN/PID Number: 23102L/PID #: P00042692 LiabilityPolicy Number: Refer to Appendix

02 MPF-001 CO 0315


GENERAL LIABILITY FORMS ENDORSEMENTThe following are the forms attached to and forming part of the policy at inception:

Form Edition Form Applies ToNumber Date Title This Certificate

ASPGL074 05 11 Common Policy Declarations Yes

ASPGL075 05 11 Commercial General Liability Declarations Yes

ASPCO98 02 13 Signature Page Yes

IL 00 17 11 98 Common Policy Conditions Yes

SN-CA 06 12 California Notice Yes

ASPGL006 01 04 Schedule of Applicable Forms Yes

ASPCO002 02 13 General Service Of Suit Notice Yes

ASPCO021 04 10 OFAC Endorsement Yes

CG 00 01 12 07 Commercial General Liability Coverage Form Yes

ASPGL001 01 04 Asbestos Exclusion Endorsement Yes

ASPGL003 01 04 Total Lead Exclusion Yes

ASPGL007 01 04 Silica Exclusion Endorsement Yes

ASPGL041 05 04 Intellectual Property Infringement Exclusion Yes

ASPGL044 05 04 Amendment - Common Policy Conditions Yes

ASPGL098 04 06 Exclusion - Discrimination Yes

ASPGL114 12 06 Non-Duplication of Limits of Insurance Endorsement Yes

ASPGL164 06 13 Continuous Or Progressive Injury or Damage Exclusion Yes

ASPCO023 10 12 Nuclear, Biological, Chemical, Or Radiological Terrorism Exclusion Yes

CG 00 62 12 02 War Exclusion Yes

02 MPF-001 CO 0315


CG 00 68 05 09 Recording And Distribution Of Material Or Information In Violation Of Law Yes

CG 02 12 11 85 Cancellation By Us Yes

CG 04 35 12 07 Employee Benefits Liability Coverage - See Endorsement IL1201 1185 Endorsement for Retro Active Date Yes

CG 21 16 07 98 Exclusion - Designated Professional Services Yes

CG 21 35 10 01 Exclusion - Coverage C - Medical Payments Yes

CG 21 44 07 98 Limitation Of Coverage To Designated Premises Or Project Yes

CG 21 47 12 07 Employment - Related Practices Exclusion Yes

CG 21 65 12 04 Total Pollution Exclusion With A Building Heating, Cooling And Dehumidifying Equipment Exception And A Hostile Fire Exception Yes

CG 21 67 12 04 Fungi or Bacteria Exclusion Yes

CG 21 70 01 15 Cap on Losses from Certified Acts of Terrorism See Note 1

CG 21 73 01 15 Exclusion of Certified Acts of Terrorism See Note 1

CG 24 26 07 04 Amendment of Insured Contract Definition Yes

CG 25 04 05 09 Designated Location(s) General Aggregate Limit Yes

IL 00 03 09 08 Calculation Of Premium Yes

IL 00 21 09 08 Nuclear Energy Liability Exclusion Endorsement Yes

IL 09 85 01 15 Disclosure Pursuant to Terrorison Risk Insurance Act See Note 1

CG 21 73 01 15 01 15 Exclusion of Certified Acts of Terrorism See Note 1

ASPCBA001 03 14 Commercial Storage Insurance Amendatory Endorsement See Note 2

ASPCBA002 03 14 Employee Definition Endorsement - Exclusion for Injury to Temporary Workers Yes

ASPCBA005 03 14 Course Of Construction Liability Limitation Endorsement See Note 2

ASPCBA006 03 14 Course of Construction Liability Exclusion For Phased Projects See Note 2

ASPCBA007 03 14 Marine Exclusion Endorsement See Note 2

ASPCBA008 03 14 Hired Auto And Non-Owned Auto Liability Endorsement Yes

ASPCBA009 03 14 Cross Suits Exclusion Endorsement Yes

ASPCBA010 03 14 Infestation And Vermin Coverage Change Endorsement (Designated Location) See Note 2

ASPCBA011 03 14 Punitive or Exemplary Damages Exclusion Endorsement Yes

02 MPF-001 CO 0315


ASPCBA012 03 14 Personal And Advertising Injury Exclusion & Definition Change Endorsement Yes

ASPCBA013 03 14 Waiver of Subrogation Against Unit Owners Endorsement (Only Applicable To State Of Maryland) See Note 2

ASPCBA015 03 14 Hired Auto And Non-Owned Auto Exclusion Endorsement See Note 2 ASPCBA016 03 14 Additional Insured Basic Primary Liability For Premises & Operations See Note 2

ASPCBA017 03 14 Additional Insured Endorsement See Note 2

ASPCBA018 03 14 Amendment to Per "Customer" Limit of Insurance For Customers' Goods Legal Liability And Sale And Disposal Legal Liability Endorsement See Note 2

ASPCBA019 03 14 Designated Work Performed (Residential Work - Including Apartment Conversions) Endorsement Yes

ASPCBA021 03 14 Vacant Land Construction Activity Exclusion Endorsement See Note 2

ASPCBA022 03 14 Association Valet Parking Change Endorsement See Note 2

ASPCBA023 03 14 Weather Deductible Endorsement See Note 2

ASPCBA024 03 14 Domestic Animal Liability Endorsement See Note 2

ASPCBA027 03 14 Construction Operations Exclusion (With Non-Structural Improvement Exception) Endorsement Yes

ASPCBA030 03 14 Infestation And Vermin Exclusion Endorsement Yes

ASPCBA031 03 14 Names Insured Endorsement Yes

ASPCBA032 03 14 Stop Gap - Employers Liability Coverage Endorsement - OH, WA, ND & WY Yes

ASPCBA033 03 14 Deductible Liability Insurance Yes

IL 12 01 11 85 Policy Changes - EBL Retro Active Date 12/31/2012 or First Date Thereafter Written on a Continuous Basis Yes

NOTES:

1. Certified Terrorism Coverage - applies only if Named Insured accepted Certified Terrorism Offer for the location specified in the Certificate Of Liability Insurance and Certified Terrorism Premium is paid at inception of coverage.

2. Discretionary Endorsement - Applies Only If Attached To The Certificate of Liability Insurance.


Countersigned

02 MPF-001 CO 0315




02 DWP-001 EX 0315


DESIGNATED WORK PERFORMED (RESIDENTIAL WORK - INCLUDINGAPARTMENT CONVERSIONS) ENDORSEMENT

THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:

- COMMERCIAL GENERAL LIABILITY COVERAGE PART - PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

In consideration of a premium charged, it is agreed that the following coverage change applies, but only with respect to coverage provided at all locations where The Commercial Industrial Building Owner's Alliance ("CIBA") has issued a Declarations Page or a Certificate of Liability Insurance to the Insured Associate and/or Additional Insured and such Certificate states that this endorsement applies:

1. SECTION I - COVERAGES, COVERAGE A BODILY AND PROPERTY DAMAGE LIABILITY, Paragraph 2. Exclusions, is amended to include the following:

This insurance does not apply to "bodily injury" or "property damage" based upon, arising out of, directly or indirectly, in whole or in part, or in any way involving "your work" during the course of converting property to any "residential property".

This exclusion applies to any properties or buildings that are now being converted or have been converted by anyone to "residential" occupancy.

2. SECTION I - COVERAGES, COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY, Paragraph 2. Exclusions, is amended to include the following:

This insurance does not apply to "personal and advertising injury" based upon, arising out of, directly or indirectly, in whole or in part, or in any way involving "your work" during the course of converting property to any "residential property".

This exclusion applies to any properties or buildings that are now being converted or have been converted by anyone to "residential" occupancy.

3. SECTION V - DEFINITIONS is amended to include the following:

"Residential property" means: (i) single family dwellings and single units of residential properties; (ii) condominiums; (iii) town homes or townhouses; (iv) planned unit developments; (v) row houses; (vi) co- operative housing; (vii) villas within a condominium association or homeowners association; (viii) master- planned housing; (ix) tract homes; (x) mass-produced single family homes; (xi) custom-built homes; and (xii) multi-family housing, intended for human residency.

"Residential property" shall not include: (1) Apartment buildings that do not have any owner occupied units; or (2) Apartment buildings in which all of the individual units are rented.

"Your Work" means: 1) Work or operations performed by you or on your behalf; and 2) Materials, parts or equipment furnished in connection with such work or operations.

"Your Work" includes: 1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your work" and 2) The providing of or failure to provide warnings or instructions.


Countersigned

02 MPF-001 CO 0315




02 MAR-001 EX 0315


MARINE EXCLUSIONTHIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:

- COMMERCIAL GENERAL LIABILITY COVERAGE PART

In consideration of a premium charged, it is agreed that the following coverage change applies, but only with respect to coverage provided at all locations where The Commercial Industrial Building Owner's Alliance ("CIBA") has issued a Declarations Page or a Certificate of Liability Insurance to the insured Associate and/or Additional Insured and such Certificate states that this endorsement applies:

1. SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Paragraph 2. Exclusions, is amended to include the following:

This insurance does not apply to "bodily injury" or "property damage" based on, arising out of, directly or indirectly, in whole or in part, or in any way involving the ownership, maintenance or use of oceans, rivers, streams, ponds, lakes, or any other body of water and piers, wharves and docks.

2. SECTION I - COVERAGES, COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY, Paragraph 2. Exclusions, is amended to include the following:

This insurance does not apply to "personal and advertising injury" based on, arising out of, directly or indirectly, in whole or in part, or in any way involving the ownership, maintenance or use of oceans, rivers, streams, ponds, lakes, or any other body of water and piers, wharves and docks.


Countersigned

02 MPF-001 CO 0315




02 MEP-025 OT 0315


MINIMUM EARNED PREMIUM ENDORSEMENTTHIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:

- COMMERCIAL GENERAL LIABILITY COVERAGE PART In consideration of a premium charged, it is agreed that the following coverage change applies, but only with respect to coverage provided at all locations where The Commercial Industrial Building Owner's Alliance ("CIBA") has issued a Declarations Page or a Certificate of Liability Insurance to the insured Associate and/or Additional Insured and such Certificate states that this endorsement applies:

A minimum earned premium equal to twenty five per cent (25%) of the annual premium applies to the Certificate of Liability Insurance to which this endorsement is attached, once the Certificate becomes effective. No flat cancellation is allowed.


Countersigned

02 MPF-001 CO 0315

APPENDIX "PL"PRIMARY LIABILITY

COMMERCIAL INDUSTRIAL BUILDING OWNER'S ALLIANCE, INC.MARCH 31, 2015 - MARCH 31, 2017

SCHEDULE OF PARTICIPATING INSURANCE COMPANIES

Layer Market Perils POLICY # AdmittedNon-Admitted

PRIMARY $1 MILLION PER OCCURRENCE / $2 MILLION GENERAL AGGREGATE PER LOCATIONASPEN SPECIALTY INSURANCE COMPANY GL CR003KH15 Non-Admitted

NON-OWNED & HIRED AUTOMOBILE LIABILITY$1 MILLION PER ACCIDENT / SUBJECT TO GENERAL AGGREGATE LIMIT

ASPEN SPECIALTY INSURANCE COMPANY AUTO CR003KH15 Non-Admitted

POLLUTION LEGAL LIABILITY POLICY

$500,000 PRIMARY POLLUTION LEGAL LIABILITY POLICY PROGRAM AGGREGATE LIMIT / $250,000 PER OCCURRENCE $250,000 PER OCCURRENCE / $25,000 DEDUCTIBLE (PER OCCURRENCE INCL EXPENSE)

LIBERTY SURPLUS INSURANCE CORPORATION POL TVE–SF–103909-115 Non-Admitted

$1.5 MILLION EXCESS OF $500,000 PRIMARY POLLUTION LEGAL LIABILITY POLICY PROGRAM AGGREGATE LIMIT $250,000 PER OCCURRENCE / $25,000 DEDUCTIBLE

LIBERTY SURPLUS INSURANCE CORPORATION POL TLE–SF–103909-215 Non-Admitted

DISCLAIMER: COVERAGES APPLICABLE FOR THE EFFECTIVE AND EXPIRATION DATES AS SPECIFIED ON THE EVIDENCE OF INSURANCE PLEASE CHECK WWW.CIBASERVICES.COM FOR THE MOST UP-TO-DATE APPENDICES

03/23/2015PRIMARY LIABILITY

The ACORD name and logo are registered marks of ACORD

CERTIFICATE HOLDER

© 1988-2014 ACORD CORPORATION. All rights reserved.ACORD 25 (2014/01)

AUTHORIZED REPRESENTATIVE

CANCELLATION

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE

LOCJECTPRO-POLICY

GEN'L AGGREGATE LIMIT APPLIES PER:

OCCURCLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

PREMISES (Ea occurrence) $DAMAGE TO RENTEDEACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

$RETENTIONDED

CLAIMS-MADE

OCCUR

$

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

INSRLTR TYPE OF INSURANCE POLICY NUMBER

POLICY EFF(MM/DD/YYYY)

POLICY EXP(MM/DD/YYYY) LIMITS

PERSTATUTE

OTH-ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

$

$

$

ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe underDESCRIPTION OF OPERATIONS below

(Mandatory in NH)OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N

AUTOMOBILE LIABILITY

ANY AUTOALL OWNED SCHEDULED

HIRED AUTOSNON-OWNED

AUTOS AUTOS

AUTOS

COMBINED SINGLE LIMIT

BODILY INJURY (Per person)

BODILY INJURY (Per accident)PROPERTY DAMAGE $

$

$

$

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.

INSDADDL

WVDSUBR

N / A

$

$

(Ea accident)

(Per accident)

OTHER:

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSURED

PHONE(A/C, No, Ext):

PRODUCER

ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

INSURER(S) AFFORDING COVERAGE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

1/10/2017

Bothell, WA-Lovsted-HUB International Northwest12100 NE 195th St. Suite 200Bothell WA 98011

Villa MarinaSacha Copeland, CMCA, AMS, PCAMThe Copeland Group, LLC, AAMC©221 1st Ave. W #105.Seattle WA 98119

Kinsale Insurance CompanyGreat American Alliance Insurance C

3892026832

425-489-4500 [email protected]

VILLMAR-05

1954243967

A 02479550 1/6/2017 1/6/2018 1,000,000

100,000

1,000,000

2,000,000

2,000,000

X

X

A

X X

02479550 1/6/2017 1/6/2018 1,000,000

B X X UM3842794 1/6/2017 1/6/2018 25,000,000

25,000,000

Prod/Comp Ops 25,000,000

Evidence of Insurance. 180 units in association.

Evidence of Insurance

INSURANCE SUMMARY

VILLA MARINA ASSOCIATION OF APARTMENT OWNERS

17104 – 17412 NE 45th Street Redmond, WA 98053

Insurance Company: Various Property & General Liability (Best Rating A XV) (Rockingham Casualty/Lloyds/Fair American)

Great American Alliance Ins. Co. Excess Liability (A+ XV)

Great American Insurance Company Directors & Officers and Crime (A+ XV) Policy Period: January 6, 2017 to January 6, 2018 Property Coverage Limit

Buildings and Equipment $ 33,800,000 Business Personal Property $ 20,600 Loss of Income or Maintenance Fees $ 500,000 Building Ordinance Included Demolition & increased cost of construction 5,070,000 (15% of Building Value) Equipment Breakdown Included Valuation: Replacement cost; agreed amount Property Deductible: $ 10,000 All Perils (no coverage for Earthquake & Flood.) Building coverage includes common areas, limited common areas and units to their full replacement value, including all fixtures, equipment and improvements & betterments within units (“walls in”).

Liability Coverage Limit

General Liability $ 1,000,000 per occurrence / $2,000,000 aggregate Directors & Officers Liability $ 1,000,000 annual aggregate Excess Liability $ 10,000,000 per occurrence / aggregate Liability coverage protects the homeowner’s association in common for claims arising from the common or limited common areas. It does not protect the unit owner for their personal liability. Unit owners are encouraged to maintain their own homeowners insurance for their personal protection. Crime Coverage Limit Deductible

Employee Dishonesty $ 2,000,000 per loss $15,000 Includes coverage for property manager Terms & Conditions: This is intended as a brief summary only, and the policy should be consulted for complete details. All coverage is subject to policy terms and conditions, extensions, exclusions, limitations and warranties. Special Note to Unit Owners: Owners are strongly advised to purchase their own personal insurance to include coverage for their own personal belongings and furnishings as well as their personal liability. Your personal policy should have at least $10,000 in building coverage, consistent with the financial responsibility of each unit owner up to the level of the association’s property deductible.

Certificates of insurance can be obtained online: https://portal.csr24.com/mvc/9923593 Login ID: villamarina Password: villmar‐05

Villa Marina Association of Apartment Owners LOGIN ID: villamarina PASSWORD: villmar‐05 Go to the Following Website: https://portal.csr24.com/mvc/9923593

1. Enter the Login ID & Password Listed Above 2. Click on Issue or Reprint a Certificate of Insurance 3. To issue the Certificate of Insurance, Click on PROP/GL/FIDELITY 2017‐18 Term

Preview Certificate Certificate Holder Address Date Description of Operations

PROP/GL/FIDELITY 2017‐18 Term

4. Click on Add Cert Holder Cert Holder Information (* = Required Field )

Full Name:* BANK OF ANYWHERE ISAOA/ATIMA

Address:* P.O. BOX 1234

City:* BOTHELL

State/Province:* WA

Zip/Postal Code:* 12345

Country: (If other than United States)

LEAVE BLANK

Telephone: LEAVE BLANK

Telephone 2: LEAVE BLANK

One Time Only:

Date Interest Ends: LeaveBlank

Do they Receive Renewals:

Loan Number: LEAVE BLANK

Group Code: LEAVE BLANK

Holder Specific Portion: UNIT OWNERS NAME, UNIT # (ONLY UNIT #), & LOAN NUMBER********EXAMPLE************JOE SMITH, UNIT #123, LOAN NUMBER 12356789NOTE: FULL ADDRESS IS ALREADY PRE-FILLED IN THE TEMPLATE - ONLY ENTER UNIT #

Delivery Information - SKIP THIS SECTION Recipient #1

Attention: YOUR NAME

Subject: Proof of Insurance for Fox Borough Ow ners Associ

Message:

OPTIONAL NOTE FIIELD

Email the Form:

Email Address : YOUR EMAIL HERE

5. Click on Submit Request and it will be Emailed 6. “Form and Attachment Links” Message Box will Show on Screen, Click “X” to Exit Out 7. Go to Top of Page and Log Off

QUESTIONS – PLEASE CALL

RCBAP

Renewal

Agent

STEVE TOWNSEND16720 REDMOND WAY STE E1REDMOND, WA 98052-4484

99047388682016 01/16/2017 FCOLOGO_AGT_MS MXS_000014585888

99047388682016

Farmers Insurance Company of WashingtonFarmers Insurance Company of WashingtonFarmers Insurance Company of Washington

Standard PolicyStandard Policy

These Declarations are effectiveas of: 12/30/2016 at 12:01 AM

Renewal

For payment status, call: (800) 637-3846For payment status, call: (800) 637-384612/30/2016 12/30/2017

RCBAP

ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:STEVE TOWNSEND16720 REDMOND WAY STE E1REDMOND, WA 98052-4484

00000

Agent/Agency #: 7943321Flood Insurance Processing Center08806-01222-000P.O. Box 2057 Kalispell MT 59903-2057(425)883-7633

VILLA MARINAC/O Sacha Copeland - Copeland221 1st Ave W Ste 105Seattle, WA 98119-4223

17411 NE 45TH STREDMOND, WA 98052-5652

020101

NInsured

2-4 FamilyTwo FloorsElevated Without EnclosureLow RiseMain House

AE53 0087 0390 G 1

REDMOND, CITY OFNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)

Pre-Firm ConstructionPre-Firm Construction $573,210Regular 4

DiscouDiscountnt803,900 .420 / .090 3,000 136- 1,380.00 1,380.00

5.00

346.00

156.00

250.00

150.00.00

.00

1,595.00

Farmers Insurance Company of Washington99047388682016 01/16/2017 FCOLOGO_AGT_MS MXS_000014585888

RCBAP

Renewal

Agent


99047388702016 01/16/2017 FCOLOGO_AGT_4Q MXS_000014585887

99047388702016




Renewal


RCBAP


00000




050101

NInsured


AE53 0087 0390 G 3



DiscouDiscountnt803,900 .200 / .080 3,000 84- 847.00 847.00

5.00

213.00

96.00

250.00

150.00.00

.00

1,135.00

Farmers Insurance Company of Washington99047388702016 01/16/2017 FCOLOGO_AGT_4Q MXS_000014585887

RCBAP

Renewal

Agent



99047388742016




Renewal


RCBAP


00000




070101

NInsured


AE53 0087 0045 D 3




5.00

241.00

108.00

250.00

150.00.00

.00

1,229.00


RCBAP

Renewal

Agent



99047388752016




Renewal


RCBAP


00000




090101

NInsured


AE53 0087 0390 G 3




5.00

213.00

96.00

250.00

150.00.00

.00

1,135.00


RCBAP

Revised Declaration

Agent


POLICY CHANGES: FROM: TO:

Insured Mail Add: PO BOX 2070 221 1st Ave W Ste 105

C/O PUGET SOUND CONDO GROUP C/O Sacha Copeland - Copela

LYNNWOOD, WA Seattle, WA

98036-2070 98119-4223

87048921682016 12/16/2016 FCOLOGO_AGT_WE OXP_000014470586

87048921682016




Revised Declaration


RCBAP


00000


VILLA MARINA CONDO ASSNC/O Sacha Copeland - Copeland221 1st Ave W Ste 105Seattle, WA 98119-4223


010101

NInsured


AE53 0087 0390 G 8




5.00

213.00

96.00

250.00

150.00.00

.00

1,133.00

Farmers Insurance Company of Washington87048921682016 12/16/2016 FCOLOGO_AGT_WE OXP_000014470586

RCBAP

Renewal

Agent



99047388652016




Renewal


RCBAP


00000




010101

NInsured


AE53 0087 0390 G 2




5.00

246.00

111.00

250.00

150.00.00

.00

1,248.00


INSURANCE SUMMARY

VILLA MARINA ASSOCIATION OF APARTMENT OWNERS

17104 – 17412 NE 45th Street Redmond, WA 98053

Insurance Company: Various Property & General Liability (Best Rating A XV) (Rockingham Casualty/Lloyds/Fair American)

Great American Alliance Ins. Co. Excess Liability (A+ XV)

Great American Insurance Company Directors & Officers and Crime (A+ XV) Policy Period: January 6, 2017 to January 6, 2018 Property Coverage Limit

Buildings and Equipment $ 33,800,000 Business Personal Property $ 20,600 Loss of Income or Maintenance Fees $ 500,000 Building Ordinance Included Demolition & increased cost of construction 5,070,000 (15% of Building Value) Equipment Breakdown Included Valuation: Replacement cost; agreed amount Property Deductible: $ 10,000 All Perils (no coverage for Earthquake & Flood.) Building coverage includes common areas, limited common areas and units to their full replacement value, including all fixtures, equipment and improvements & betterments within units (“walls in”).

Liability Coverage Limit

General Liability $ 1,000,000 per occurrence / $2,000,000 aggregate Directors & Officers Liability $ 1,000,000 annual aggregate Excess Liability $ 10,000,000 per occurrence / aggregate Liability coverage protects the homeowner’s association in common for claims arising from the common or limited common areas. It does not protect the unit owner for their personal liability. Unit owners are encouraged to maintain their own homeowners insurance for their personal protection. Crime Coverage Limit Deductible

Employee Dishonesty $ 2,000,000 per loss $15,000 Includes coverage for property manager Terms & Conditions: This is intended as a brief summary only, and the policy should be consulted for complete details. All coverage is subject to policy terms and conditions, extensions, exclusions, limitations and warranties. Special Note to Unit Owners: Owners are strongly advised to purchase their own personal insurance to include coverage for their own personal belongings and furnishings as well as their personal liability. Your personal policy should have at least $10,000 in building coverage, consistent with the financial responsibility of each unit owner up to the level of the association’s property deductible.

Certificates of insurance can be obtained online: https://portal.csr24.com/mvc/9923593 Login ID: villamarina Password: villmar‐05

Villa Marina Association of Apartment Owners LOGIN ID: villamarina PASSWORD: villmar‐05 Go to the Following Website: https://portal.csr24.com/mvc/9923593

1. Enter the Login ID & Password Listed Above 2. Click on Issue or Reprint a Certificate of Insurance 3. To issue the Certificate of Insurance, Click on PROP/GL/FIDELITY 2017‐18 Term

Preview Certificate Certificate Holder Address Date Description of Operations

PROP/GL/FIDELITY 2017‐18 Term

4. Click on Add Cert Holder Cert Holder Information (* = Required Field )

Full Name:* BANK OF ANYWHERE ISAOA/ATIMA

Address:* P.O. BOX 1234

City:* BOTHELL

State/Province:* WA

Zip/Postal Code:* 12345

Country: (If other than United States)

LEAVE BLANK

Telephone: LEAVE BLANK

Telephone 2: LEAVE BLANK

One Time Only:

Date Interest Ends: LeaveBlank

Do they Receive Renewals:

Loan Number: LEAVE BLANK

Group Code: LEAVE BLANK

Holder Specific Portion: UNIT OWNERS NAME, UNIT # (ONLY UNIT #), & LOAN NUMBER********EXAMPLE************JOE SMITH, UNIT #123, LOAN NUMBER 12356789NOTE: FULL ADDRESS IS ALREADY PRE-FILLED IN THE TEMPLATE - ONLY ENTER UNIT #

Delivery Information - SKIP THIS SECTION Recipient #1

Attention: YOUR NAME

Subject: Proof of Insurance for Fox Borough Ow ners Associ

Message:

OPTIONAL NOTE FIIELD

Email the Form:

Email Address : YOUR EMAIL HERE

5. Click on Submit Request and it will be Emailed 6. “Form and Attachment Links” Message Box will Show on Screen, Click “X” to Exit Out 7. Go to Top of Page and Log Off

QUESTIONS – PLEASE CALL

RCBAP

Revised Declaration

Agent


POLICY CHANGES: FROM: TO:

Insured Mail Add: PO BOX 2070 221 1st Ave W Ste 105

C/O PUGET SOUND CONDO GROUP C/O Sacha Copeland - Copela

LYNNWOOD, WA Seattle, WA

98036-2070 98119-4223

87048921682016 12/16/2016 FCOLOGO_AGT_WE OXP_000014470586

87048921682016




Revised Declaration


RCBAP


00000


VILLA MARINA CONDO ASSNC/O Sacha Copeland - Copeland221 1st Ave W Ste 105Seattle, WA 98119-4223


010101

NInsured


AE53 0087 0390 G 8




5.00

213.00

96.00

250.00

150.00.00

.00

1,133.00

Farmers Insurance Company of Washington87048921682016 12/16/2016 FCOLOGO_AGT_WE OXP_000014470586

RCBAP

Renewal

Agent



99047388752016




Renewal


RCBAP


00000




090101

NInsured


AE53 0087 0390 G 3




5.00

213.00

96.00

250.00

150.00.00

.00

1,135.00


RCBAP

Renewal

Agent



99047388742016




Renewal


RCBAP


00000




070101

NInsured


AE53 0087 0045 D 3




5.00

241.00

108.00

250.00

150.00.00

.00

1,229.00


RCBAP

Renewal

Agent


99047388702016 01/16/2017 FCOLOGO_AGT_4Q MXS_000014585887

99047388702016




Renewal


RCBAP


00000




050101

NInsured


AE53 0087 0390 G 3




5.00

213.00

96.00

250.00

150.00.00

.00

1,135.00

Farmers Insurance Company of Washington99047388702016 01/16/2017 FCOLOGO_AGT_4Q MXS_000014585887

RCBAP

Renewal

Agent



99047388682016




Renewal


RCBAP


00000




020101

NInsured


AE53 0087 0390 G 1



DiscouDiscountnt803,900 .420 / .090 3,000 136- 1,380.00 1,380.00

5.00

346.00

156.00

250.00

150.00.00

.00

1,595.00


RCBAP

Renewal

Agent



99047388652016




Renewal


RCBAP


00000




010101

NInsured


AE53 0087 0390 G 2




5.00

246.00

111.00

250.00

150.00.00

.00

1,248.00


Documents

EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DATE … · 2017-06-05 · insured interest identified 30 days written notice, 10 days for non-payment, and will send notification of any