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Larsen General Liability Binder 11-24-2020III MARKED November 18, 2020 Melissa McFarlane Brown & Riding - Select Accounts Division 901 5th Avenue Suite 2300 Seattle, WA 98164 mmcfarlane@brcins.com Binder Thank you for your request to bind the below referenced account. We appreciate your business and are pleased to bind coverage as follows. Named insured: Mailing Address: Policy number: Company: Term: Premium Summary General liability Sharon Larsen & Carl Larsen 9832 Marine View Drive Mukilteo, WA 98275 3EZ9725 Evanston Insurance Company 11/24/2020to 11/24/2021 Total Premium without TRIA Total amount due This bind is subject to the following: $2,500 MP $2,500 $2,500.00 10 kc General Liability Coverage Limits of Insurance General Aggregate Limit Products/Completed Operations Aggregate Limit Personal/Advertising Limit Each Occurrence Limit Damage to Premises Rented to You Limit Medical Expense Limit (Any one person) Deductible Location schedule $2,000,000 Excluded $1,000,000 $1,000,000 $100,000 $5,000 None Sharon Larsen & Carl Larsen Transaction #: 3989927 Policy #: 3EZ9725 Loc state - Territory Address 1 WA - 502 7329 158th Street Southwest, Edmonds, WA 98026 Classification and premium Loc Class Description Rating Exposure Rate Premium Code Basis 1 91580 Contractors - executive supervisors or executive Per 750,000 3.12 $2,340 superintendents $1,000 of Total Cost Additional Coverages Coverage Limit Qty. Premium Markel contractors bundle - Blanket Additional n/a n/a Included Insured/Blanket Waiver of Subrogation/Blanket Primary and Noncontributory/Blanket Per Project Aggregate Total General Liability Premium (25% minimum earned) $2,500 MP minimum and deposit 10 kc Forms and Endorsements Sharon Larsen & Carl Larsen Transaction #: 3989927 Policy #: 3EZ9725 MJIL 1000 08 10 Policy Jacket (Evanston) MPIL 1007 0120 Privacy Notice MPIL 104102 20 How To Report A Claim MPIL 1083 04 15 U.S. Treasury Department's Office Of Foreign Assets Control (OFAC) Advisory Notice To Policyholders MDIL 1000 08 11 Common Policy Declaration MDIL 100108 11 Forms Schedule IL 00 17 1198 Common Policy Conditions IL 00 2109 08 Nuclear Energy Liability Exclusion Endorsement MEIL 1200 02 20 Service Of Suit MEIL 1225 10 11 Change - Civil Union MIL 1214 09 17 Trade Or Economic Sanctions MDGL 1008 08 11 Commercial General Liability Coverage Part Declarations CG 00 0104 13 Commercial General Liability Coverage Form CG 20 0104 13 Primary And Noncontributory - Other Insurance Condition CG 2104 1185 Exclusion -Products -Completed Operations Hazard CG 2107 05 14 Exclusion - Access Or Disclosure Of Confidential Or Personal Information And Data -Related Liability - Limited Bodily Injury Exception Not Included CG 2136 03 05 New Entities Exclusion CG 2144 04 17 Limitation of Coverage to Designated Premises, Project or Operation CG 2147 12 07 Employment - Related Practices Exclusion CG 2149 09 99 Total Pollution Exclusion Endorsement CG 2173 0115 Exclusion Of Certified Acts Of Terrorism CG 2186 12 04 Exclusion -Exterior Insulation and Finish Systems MEGL 000108 20 Combination General Endorsement MEGL 0008 04 20 Exclusion - Continuous or Progressive Injury or Damage MEGL 0009-01 09 18 Blanket Additional Insured MEGL 0103 07 18 Limitation - Contractor Or Subcontractor Management MEGL 0170 05 16 Premium Basis MEGL 0241-01 05 16 Blanket Waiver of Transfer of Rights Against Others To Us MEGL 0313 02 17 Construction Project(s) - General Aggregate Limit MEGL 136105 16 Excl - Tainted Drywall/Gypsum Containing Bldng Materials MEGL 1592 05 16 Limited Exclusion - Specified Underground Hazards MEGL 1628-A 02 18 New Residential Work Limitation MEGL 1637 10 19 Exclusion - Employer's Liability And Bodily Injury To Contractors, Subcontractors, Or Independent Contractors MEGL 2322 03 20 Exclusion - Communicable Disease MGL 1319 0116 Exclusion - Unmanned Aircraft