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/f',, NIATETES-01 BRITTANYKOCIS
<br /> A.C4CORQ CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD)YYYY)
<br /> 10/30/2020
<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 Alexandra Garcia
<br /> NAME;
<br /> NFP Property&Casualty Services,Inc. PHONE
<br /> 8201 North Hayden Road (A/C,No,Est):(480)874-4541 I FAX
<br /> (Arc,Nol:(928)302-2858
<br /> Scottsdale,AZ 85258 AIL
<br /> ADDRESS:alexandra.garcia@nfp.com -
<br /> INSURER(S)AFFORDING COVERAGE NAIC# ,
<br /> INSURER A:Valley Forge Insurance Company 20508
<br /> INSURED INSURER a:Continental Insurance Company 35289
<br /> Materials Testing and Consulting Inc. INSURER C:Alaska National Insurance Company 38733
<br /> 777 Chrysler Drive INSURER D:Continental Casualty Company 20443
<br /> Burlington,WA 98233
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 SUER POLICY NUMBER POLICY)=FF POLICY EXP LIMITS LTRINSD WVD (MMIDDIYY`LY) (MM1DDIYYYY)_
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> J CLAIMS-MADE X OCCUR X x 6046287574 7/1/2020 7/1/2021 PREMISES(Ea occurrence) $ 500,000
<br /> MED EXP(Any one person) $ 15,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 2,000,000 ar
<br /> X POLICY X [pa LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER. STOP GAP LIABIL $ 1,000,000
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> (Ea accident) $
<br /> X ANY AUTO )( )( 6046287588 7/1/2020 7/1/2021 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS p BODILY INJURYp (Per acc)dent) $
<br /> HIREDT ONLY -,AUTOS ONLY (Pert accident)AMAGE $
<br /> $
<br /> B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE 6046287591 7/1/2020 7/1/2021 AGGREGATE $ 5,000,000
<br /> DEO I X I RETENTION$ 10,000 $
<br /> C WORKERS AND EMPLOYERS' ABILITY YIN X I ON
<br /> STA UTE I I ERH
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE 20FWU09160 7/6/2020 7/6/2021 1,000,000
<br /> EL EACH ACCIDENT $
<br /> OFFICERlMEMBER EXCLUDED? N IA
<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 /> D E&O/Professional Lia MCH591911371 7/1/2020 7/1/2021 Limit/Aggregate 3,000,000 '
<br /> D Crime 596805415 7/1/2020 7/112021 Limit 250,000
<br /> DESCRIPTION OF OPERATIONS(LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
<br /> Subject to Policy Terms,Conditions and Exclusions.
<br /> City of Everett,its officers,employees and agents are Additional Insured with respects to General Liability per endorsement CNA74858XX(01 15)attached.
<br /> General Liability coverage is primary&nen-contributory per endorsement CNA74858XX(01 15)attached.Waiver of Subrogation applies to General Liability
<br /> per attached CNA74858XX(01 15)attached.
<br /> City of Everett,its officers,employees and agents are Additional Insured with respects to Auto Liability per endorsement CNA74858XX(01 15)attached.Auto
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn:Dean Shaughnessy
<br /> 802 E Mukilteo Blvd
<br /> Everett,WA 98203 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. Alf rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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