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_",,..- ENVISCI-05 DIMEOLAA
<br /> DATE(MM/DDIYYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 2/3/2020
<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 /> License#0E67768 CONTACT Ali Smith
<br /> PRODUCER NAME:
<br /> FAX
<br /> IOA Insurance Services PHONE
<br /> (A/C,No,Ext):(619)788-5795 50206 (A/c,No):(619)574-6288
<br /> 4370 La Jolla Village Drive Suite 600 MAkss,Ali.Smith@ioausa.com
<br /> SS:AIi.Smithnloausa.com
<br /> San Diego,CA 92122 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA:RLI Insurance Company 13056
<br /> INSURED INSURER B:Mt Hawley Insurance Company 37974
<br /> Environmental Science Associates INSURER C:Crum&Forster Specialty Insurance Company 44520
<br /> 550 Kearny St.,Suite 800 INSURER D:
<br /> San Francisco,CA 94108 INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO THAT THE POLICIES OF INSUNCE BELOW
<br /> BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE
<br /> D
<br /> VE
<br /> ICY
<br /> INDICATED. IFY NOTWI TTH TANDING ANY R QUUIREM NTH, TERM(OR DCONDIIT ONAOF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOLWHICH 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
<br /> ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP
<br /> LTR LIMITS
<br /> TYPE OF INSURANCEINSD WVD (MMIDD/YYYYI IMM/DDIYYYYI 2,000,000
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
<br /> 12/1/2019 12/1/2020 pREMISEO(Eaoccuence) $ 1,000,000
<br /> CLAIMS-MADE X OCCUR X x PSB0007416 s 10,000
<br /> X Cont Liab/Sev of Int MED EXP(Any one person) $
<br /> PERSONAL&ADVINJURY $ 2,000,000
<br /> GENERAL AGGREGATE $ 4,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: 4�QQ�QQQ
<br /> POLICY X JE LOC PRODUCTS-COMP/OP AGG $
<br /> Deductible 0
<br /> $
<br /> OTHER: COMBINED SINGLE LIMIT 1,000,000
<br /> A AUTOMOBILE LIABILITY (Ea accident) $
<br /> X ANY AUTO X PSA0002468 12/1/2019 12/1/2020 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTO
<br /> RED ONLY AUTOS NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUUTOSTOSONLY
<br /> AIRED (Per accident) $
<br /> X Comp.:$1,000 x Coll.:$1,000 $
<br /> B X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> EXCESS LIAR CLAIMS-MADE
<br /> PSE0003196 12/1/2019 12/1/2020 AGGREGATE $ 3,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> STATUTE A WORKERS COMPENSATION X OTH-
<br /> ER
<br /> AND EMPLOYERS'LIABILITY Y/N X PSW0004135 12/1/2019 12/1/2020 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N I A 1,000,000
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> DESCRIPTION OF OPERATIONS below
<br /> C Prof Liab/Ded.$50K PKC108908 9/17/2019 12/1/2020 Per Claim/Aggregate 5,000,000
<br /> C Poll Liab/Ded.$50K PKC108908 9/17/2019 12/1/2020 Occurrence/Aggregate 5,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re:City of Everett Lowell Riverfront Park-P191403.00
<br /> City of Everett is Additional Insured with respect to General and Auto Liability per the attached endorsements as required by written contract.Insurance is
<br /> Primary and Non-Contributory.Waiver of Subrogation applies to General Liability and Workers'Compensation.
<br /> 30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions.
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Everett AUTHORIZED REPRESENTATIVE
<br /> Attn:Timothy D.Benedict "�' /
<br /> 2930 Wetmore Ave,Suite 10-C
<br /> Silk
<br /> (Everett.WA 98201
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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