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Portable Hydraulic Dredging LLC 10/22/2019
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Portable Hydraulic Dredging LLC 10/22/2019
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Entry Properties
Last modified
10/24/2019 9:32:35 AM
Creation date
10/24/2019 9:32:20 AM
Metadata
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Template:
Contracts
Contractor's Name
Portable Hydraulic Dredging LLC
Approval Date
10/22/2019
End Date
3/1/2020
Department
Facilities
Department Project Manager
Darcie Byrd
Subject / Project Title
Load Dredge Spoils at 4000 Railway Avenue
Tracking Number
0002023
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Use of Property
Retention Period
6 Years Then Destroy
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e DATE(MM/DD/YYYY) <br /> A`C0 o CERTIFICATE OF LIABILITY INSURANCE <br /> 09/26/2019 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Lenne Adams <br /> NAME: <br /> Elliott Powell Baden and Baker Inc. (A/CONN Ext): (503)227-1771 FAXX,No): (503)274-7644 <br /> An ISU Network Member E-MAIL ladams@epbb.com <br /> ADDRESS: <br /> 1521 SW Salmon Street INSURER(S)AFFORDING COVERAGE NAIC# <br /> Portland OR 97205-1783 INSURER A: Navigators Insurance Company 36056 <br /> INSURED INSURER B: Continental Insurance Company 10641 <br /> Portable Hydraulic Dredging LLC INSURER c: Endurance American Insurance Company 204443 <br /> 2851 Pribilof StINSURER D: Starr Indemnity&Liability Company 38318 <br /> INSURER E: <br /> Anchorage AK 99517 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 19/20 CERT REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADM SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1,000,DAMAGE 000 <br /> CLAIMS-MADE X OCCUR PREMISES(E a occu ence) $ 50,000 <br /> X Marine General LiabilityMED EXP(Any one person) $ 5,000 <br /> AB Y EPBB 091819B 09/18/2019 09/18/2020PERSONAL 8,ADV INJURY $ 1,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY JECT PRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> — <br /> OTHER: insurers A,B,C $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY _ AUTOS ONLY (Per accident) <br /> $ <br /> X UMBRELLA LIAROCCUR EACH OCCURRENCE $ 4,000,000 <br /> AD EXCESS LIABCLAIMS MADE EPBB 091819C 09/18/2019 09/18/2020 AGGREGATE $ 4,000,000 <br /> DED X RETENTION$ 25,000 $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Each Limit 1,000,000 <br /> Protection&Indemnity including <br /> BC Crew/Jones Act and Collision Liability EPBB 091819A 09/18/2019 09/18/2020 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate holder has been added as Additional Insured with respects to liability arising out of the operations of the Named Insured subject to the policy <br /> conditions,limitations and exclusions. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn.: Darcie Byrd,Real Prop <br /> 3200 Cedar Street AUTHORIZED REPRESENTATIVE <br /> Everett WA 98201 Af4A44. <br /> ' /� <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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