Laserfiche WebLink
AccoRD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 8/7/2020 <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: Allison Barge <br /> Hall&Company PHONE FAX <br /> 19660 10th Ave NE (A/C.No.Ext): 360-626-2007 (A/C.No):360-626-2007 <br /> Poulsbo WA 98370 ADDRESS: abarga@hallandcompany.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Hartford Casualty Insurance Company 29424 <br /> INSURED 468,,INSURER B:Sentinel Insurance Company 11000 <br /> The Watershed Company <br /> 750 6th Street South INSURER C:Argonaut Insurance Company 19801 <br /> Kirkland WA 98033 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1508259407 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 EXPR W LIMITS <br /> LTRINS!) POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY 52SBALG6505 9/30/2019 9/30/2020 EACH OCCURRENCE $2,000,000 <br /> DAMAGE TO RENTED <br /> _ CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $300,000 <br /> MED EXP(Any one person) $10,000 <br /> Cross Liability PERSONAL&ADV INJURY $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> POLICY X jRC7 LOC PRODUCTS-COMP/OPAGG $4,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY 52UECJR5898 9/30/2019 9/30/2020 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 52SBALG6505 9/30/2019 9/30/2020 EACH OCCURRENCE $2,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 <br /> DED X RETENTION$16Pt>tt $ <br /> A WORKERS COMPENSATION 52SBALG6505 9/30/2019 9/30/2020 PER X OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER WA Stop Gap _ <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? <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 /> C Professional Liab Claims Made 121 AE000197301 9/30/2019 9/30/2020 $1,000,009 Per Claim <br /> $1,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The certificate holder is an additional insured per the attached. <br /> Project Name:Everett Stream Mapping and Classification <br /> Project Number:200626 <br /> Description:Stream Mapping and Classification <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 /> a/4 z 79� <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />