Karzan & Associates Inc. 12/11/2020

• AC�® DDlYYYY) E(MMI CERTIFICATE OF LIABILITY INSURANCE DATE DN 020 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 1NSURER(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: (WC) Heffernan Insurance Brokers PHONE Shelaine Gonsalves FAX 1350 Carlback Avenue WC.No.Ext):925-934-850D (Alc,No):926-934-8278 Walnut Creek CA 94596 AUDRess: ShelaineG)heffins.com INSURER(S)AFFORDING COVERAGE NAIC t1 INSURER A:Travelers Property Casualty Company of America 25674 INSURED KRAZ&AS-01 INSURER B:Travelers Property Casualty Insurance Company 36161 Krazan&Associates,Inc. 215 West Dakota Avenue INSURER C: Clovis CA 93612 INSURER D: INSURER E _INSURER F: COVERAGES CERTIFICATE NUMBER:1289954269 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. ILTRR ADDLTYPE OF INSURANCE INSO SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSD WVD (MMlDDlVI'YY) (MM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY Y 6600F55445ATIL20 10/1/2020 10/1/2021 EACH OCCURRENCE $1,000,000 DAMAGE RENTED CLAIMS-MADE X OCCUR PREM SESO(Ea occurrence) $100,000 MED EXP(Any one person) $5,000 X_ Deductible$0 PERSONAL&AOV INJURY $1,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 PRO POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: - A AUTOMOBILE LIABILITY 8106N8697512043G 10/1/2020 10/1/2021 COMBINED SINGLE LIMIT $1,000,000 CO accident) X 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 accident) UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION UB9H9403652043G 1/1/2020 1/1/2021 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE N/A EL.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED7 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B WA STOP GAP UB9H9483652043G 1/1/2020 1/1/2021 LIMIT $1,000,000 EMPLOYERS LIABILITY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CEO(Dean Alexander)is excluded. Re:As Per Contract or Agreement on File with Insured,City of Everett,its officers,employees and agents are included as an additional insured(and primary) on General Liability policy per the attached endorsements,if required. 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 3101 Cedar Street AUTHORIZED REPRESENTATIVE Everett,WA 98201 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD