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12 <br /> -/ 1,© DATE(MIdi1DD/YYYY) <br /> A`P D CERTIFICATE OF LIABILITY INSURANCE <br /> 5/31/2015 4/8/2015 <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 be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> CONT <br /> PRODUCER LOCICtOn Companies NAMEACT <br /> 444 W.47th Street,Suite 900 PHONE FAX <br /> INC.No.Ext): (A/C,No): <br /> Kansas City MO 64112-1906 E-MAIL <br /> (816)960-9000 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Hartford Fire Insurance Company 19682 <br /> INSURED INSURER B:T,)OVds of London <br /> 1382587 BROWN AND CALDWELL <br /> AND ITS WHOLLY OWNED SUBSIDIARIES INSURER C:Hartford Insurance Co of the Midwest 37478 <br /> AND AFFILIATES INSURER D: <br /> 201 NORTH CIVIC DRIVE,SUITE 115 INSURER E: <br /> WALNUT CREEK CA 94596 <br /> INSURER F: <br /> COVERAGES * CERTIFICATE NUMBER: 13434382 REVISION NUMBER: XXXXXXX <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 SUER POLICY NUMBER (MM DPOLI D/YYYY) MM/DD//YYYY LIMITS <br /> CY EFF POLICY EXP <br /> LTR I INSD VJVD, � L <br /> A XI COMMERCIAL GENERAL LIABILITY Y N 37CSEQU1172 5/31/2014 5/31/2015 EACH OCCURRENCE $ 2.000.000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE I X OCCUR PREMISES(Ea occurrence) $ 2,000,000 <br /> MED EXP(Any one person) $ 10.000 <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4.000.0170 <br /> POLICY I X JECT I X I LOC - PRODUCTS-COMP/OP AGG $ 4.000.000 <br /> OTHER: <br /> AUTOMOBILE LIABILITY 37CSE U1173 5/31/2014 5/31/_015 COMBINED SINGLE LIMIT $ <br /> A Y N Q (Ea accident) 2.000.000 <br /> X ANY AUTO <br /> BODILY INJURY(Per person) $ XXXXXXX <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX <br /> AUTOS AUTOS • <br /> NON-0WNED - - - PROPERTY DAMAGE $ XXXXXXX <br /> X HIRED AUTOS X AUTOS - - (Per accident) <br /> $ XXXXXXX <br /> UMBRELLA LIAB OCCUR NOT APPLICABLE - EACH OCCURRENCE I$ XXXXXXX <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE I$ XXXXXXX <br /> DED I I RETENTION$ I$ XXXXXXX <br /> AND EMPLOYERS'LIABILITY WORKERS COMPENSATION N 37 NQU1170 5/31/2014 5/31/2015 STATUTE ER <br /> I <br /> C A 37WBRQU1171 5/31/2014 5/31/2015 1.000.000 <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below _Et DISEASE-POLICY LIMIT $ 1.000.000 <br /> B PROFESSIONAL • <br /> N N LDUSA1400482 5/31/2014 5/31/2015 $1,000,000 PER CLAIM& <br /> LIABILITY - AGGREGATE <br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE:WATER MAIN REPLACEMENT"Q"-PHASE 2,BC SID:58953. CITY OF EVERETT,ITS OFFICERS,EMPLOYEES AND AGENTS ARE ADDITIONAL INSURED ON <br /> A PRIMARY AND NON-CONTRIBUTORY BASIS ON GENERAL LIABILITY AND AUTO LIABILITY COVERAGE,WHERE REQUIRED BY WRI 1 chN CONTRACT AND <br /> SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. RETRO DATE 4/1/1947 APPLIES TO PROFESSIONAL LIABILITY. THIRTY DAYS NOTICE OF <br /> CANCELLATION BY THE INSURER WILL BE PROVIDED TO THE CERTIFICATE HOLDER WITH RESPECT TO THE GENERAL,AUTO,PROFESSIONAL LIABILITY <br /> AND EMPLOYERS LIABILITY POLICIES. <br /> CERTIFICATE HOLDER CANCELLATION See Attachments <br /> 13434382 • <br /> EVE-19 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE CITY OF EVERETT ACCORDANCE WITHNNOTICE DATE THEREOF, WILL BE DELIVERED IN <br /> THE POLICY PROVISIONS. <br /> ATTN:RICHARD REFIT,PE <br /> 3200 CEDAR STREET AUTHOREED REPRESENTA i E <br /> EVERTT WA 98201 <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logolar�egi_stered marks of ACORD <br />