Shearer and Associates Inc 3/9/2020

DATE(MM/DD/YYYY) AR D® CERTIFICATE OF LIABILITY INSURANCE 2/17/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT KPD Insurance, Inc. PHONE FAX PO Box 29 lac.No.Ext):503-892-0550 (NC,No):503-892-0700 Springfield OR 97477 A DRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:First Mercury Insurance Co. 10657 INSURED SHEAO1C INSURERB:Hartford Casualty Ins Co 29424 Shearer&Associates, Inc. 19300 NE 112th Ave Suite 100 INSURER C:Navigators Insurance Co 42307 Battle Ground WA 98604 INSURER D:Traveler's Indem Co of America 25666 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1703161583 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y Y WACGL000001556408 8/9/2019 8/9/2020 EACH OCCURRENCE $1,000,000 DAMAGE TO RENT CLAIMS-MADE X OCCUR PREMISES Ea occur ence) $100,000 MED EXP(Any one person) $5,000 X WA Stop Gap PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 POLICY X ECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER Deductible $5,000 B AUTOMOBILE LIABILITY Y Y 52UECJ07410 8/9/2019 8/9/2020 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED y NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) C UMBRELLA LIAB X OCCUR SE19EXC8192751C 8/9/2019 8/9/2020 EACH OCCURRENCE $10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/M EMBER EXCLUDED? N/A (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ _ D Installation Floater 6609E097703 8/9/2019 8/9/2020 Any One Job Location $1,100,000 ACV,$2,500 Ded Matenal in Transit $100,000 Matenal in Storage $100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:RFQ#2019-083 East Clearwell Roof Replacement. The City of Everett,WA,its officers,employees and agents are included as additional insured per the attached forms.45 Day Notice of Cancellation applies per form FMIC GL2685 09/18. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Everett,WA 6133 Lake Chaplin Rd AUTHORIZED REPRESENTATIVE Monroe WA 98272 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE