Laserfiche WebLink
Ar- DATE(MM/DDIYYYY) <br /> E. CERTIFICATE OF LIABILITY INSURANCE 2/19/2020 <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 /> Dealey, Renton&Associates PHONE FAX <br /> P. O. Box 12675 (A/C.No.Ext): 510-465-3090 (A/C.No):510-452-2193 <br /> Oakland, CA 94604-2675 ADDRESS: Certificates@Dealeyrenton.com <br /> License#0020739 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:Hartford Casualty Insurance Co. 29424 <br /> INSURED BHCCONSUL INSURER B:Berkley Insurance Company 32603 <br /> BHC Consultants, LLC <br /> 1601 5th Avenue, Suite 500 INSURER C: <br /> Seattle WA 98101 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1891141281 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS <br /> LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 57SBABL6098 3/31/2019 3/31/2020 EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $300,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY X jer LOC PRODUCTS-COMP/OPAGG $2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY Y Y 57UECFP0443 3/31/2019 3/31/2020 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 /> A X UMBRELLA LIAB X OCCUR 57SBABL6098 3/31/2019 3/31/2020 EACH OCCURRENCE $5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION 57WECI01370 3/31/2019 3/31/2020 X <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ETH- <br /> R WA STOP GAP <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLU DED? <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 /> B Professional Liability AEC902852601 3/31/2019 3/31/2020 Per Claim $2,000,000 <br /> Contractors Pollution Liability Annual Aggregate $2,000,000 <br /> Claims Made <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> AM Best's Rating on all policies above:A/XII or greater.Umbrella Liability policy is a follow-form to underlying General Liability/Auto Liability/Employers Liability. <br /> BHC Project No.20-10653.00/Engineering Services for Evergreen Way Pump Station Upgrades. <br /> The General Liability policy includes a blanket automatic Additional Insured endorsement that provides Additional Insured status to the City of Everett,and its <br /> officers,employees and agents only when there is a written contract that requires such status,and only with regard to work performed on behalf of the named <br /> insured. <br /> Insurance coverage includes waiver of subrogation per the attached endorsement(s). <br /> CERTIFICATE HOLDER CANCELLATION 30 Day Notice of 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 St <br /> Everett WA 98201 AUTHORIZED REP <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />