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r ® DATE(MM/DD/YYYY) <br /> AC o CERTIFICATE OF LIABILITY INSURANCE <br /> 2/12/2020 <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 /> PRODUCER CONTACT <br /> NAME: Heather Harris <br /> Hall&Company PHONE FAX <br /> 19660 10th Ave NE (euc.No.Ext):360-598-5026 (A/C,No):360-598-5026 <br /> Poulsbo WA 98370 ADDRESS hharris©hallandcompany.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Travelers Casualty and Surety Co of America 31194 <br /> INSURED 7547 INSURER B:The Travelers Indemnity Company of America 25666 <br /> TranTech Engineering LLC 365 118th Avenue SE Suite 100 INSURER c:Travelers Property Casualty Company of America 25674 <br /> Bellevue WA 98005 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1850839824 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 /> I POLICY EXP <br /> NSR ADDLTYPE OF INSURANCE INSD WVDSUBR POLICY NUMBER (MM/DPOLID/YYYY) (MM DDIYYYY) LIMITS <br /> LTR INSD WVD <br /> B X COMMERCIAL GENERAL LIABILITY Y Y 6803J385690 7/22/2019 7/22/2020 EACH OCCURRENCE $2,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000 <br /> MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> POLICY X JECT LOC PRODUCTS-COMP/OPAGG $4,000,000 <br /> OTHER $ <br /> B AUTOMOBILE LIABILITY Y Y BA5532L225 7/22/2019 7/22/2020 COMBINED SINGLE LIMIT $1,000,000 <br /> (Ea accident) <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> x HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> C X UMBRELLA LIAB X OCCUR Y CUP8N373636 7/22/2019 7/22/2020 EACH OCCURRENCE $2,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 <br /> DED X RETENTION$1 n tlnn $ <br /> g WORKERS COMPENSATION 6803J385690 7/22/2019 7/22/2020 <br /> PER <br /> AND EMPLOYERS'LIABILITY STATUTE X ERH WA Stop Gap <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED/ N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 <br /> A Professional Liab,Claims Made 105315328 7/15/2019 7/15/2020 Per Claim $2,000,000 <br /> Aggregate $2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate holder is/are an Additional Insured on the Commercial General Liability and Auto Liability when required by written contract or agreement regarding <br /> activities by or on behalf of the Named Insured.The Commercial General Liability insurance is primary insurance and any other insurance maintained by the <br /> Additional Insured shall be excess only and non-contributing with this insurance.A waiver of subrogation applies to the Commercial General Liability,Auto <br /> Liability,Umbrella/Excess Liability and Workers Compensation/Employers Liability in favor of the Additional Insured. <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 <br /> 3200 Cedar Street AUTHORIZED REPRESENTATIVE <br /> Everett WA 98201 <br /> I fig r, ."'1 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />