Mackenzie Engineering Inc. 12/7/2020

Ai CORE) DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 11/11/2020 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 NAME; Certificate Edgewood Partners Insurance Center PHONE FAx One California Street, Suite 400 (A/C.No,Ext):404-439-8000 (A/C,No):404-439-8001 San Francisco CA 94111 ADDRess. CertificateI epicbrOkerS.COm INSURER{S)AFFORDING COVERAGE NAIC# INSURER A:Travelers Casualty and Surety Company of America 31194_ INSURED MACKENG-01 INSURERS:TRAVELERS PROP CAS CORP&AFFILIATES 45 Mackenzie Engineering, Inc, -- - 1515 SE Water Ave,Suite 100 INSURER C Portland OR 97214 INSURERD. INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:1748925352 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 PER IAIN, 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 Or INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER ,(MMIDDIYYYY) (MMIDDIYYYYI B X COMMERCIAL GENERAL LIABILITY 630-0L127311-TIL-20 9/1/2020 9/i/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE XX OCCUR PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY_ _$1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE _ $2,000,000 _ POLICY X JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 _ OTHER B AUTOMOBILE LIABILITY BA-4N116118-20-43-G 9/1/2020 9/112021 COMBINED SINGLE LIMIT $1,000,000 _LE a accidenlJ__ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accdent) I $ B UMBRELLA LIAB g X I OCCUR EX-164048A-20-43 9/1/2020 9/1/2021 EACH OCCURRENCE $5,000,000 X EXCESS LIAB f(—{I CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVE ("'l E L EACH ACCIDENT $ OFFICER/MEMBEREXCLUDF.D� l N I A - -— (Mandatory in NH) E.E.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E,L,DISEASE-POLICY LIMIT $ A A&E Professional Liability 106970374 9/1/2020 9/1/2021 Limit 5,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required) City of Everett,its officers,employees,and agents are included as Additional Insureds as respects CGL and Auto where required by written contract with the Named Insured.Coverage is primary and noncontributory. 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 2930 Wetmore Ave Suite 9-E Everett WA 98201 AUTHORIZEDJTH REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD