Botesch, Nash & Hall Architects 10/15/2021

CERTIFICATE F LIA=ILITY I U'A C I DATE (MM/DDIYYYY) 09/02/2021 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 Shipley & Pease Insurance POBox928 Woodinville WA 98072 CONTACT Kim Grahn NAME: PHONE (206)519-5371 /C (A, No, Ext) E-MAIL kim@shipleyins.com ADDRESS: FAX (503)282-3345 (A/C, No): INSURER(S)AFFORDING COVERAGE NAIC # INSURERA: RLI Corporation INSURED COVERAGES Botesch Nash & Hall Architects PS 2727 Oakes LLC 2727 Oakes Ave Ste 100 Everett WA 98201 CERTIFICATE NUMBER CL219202544 INSURER B : INSURER C INSURER D : INSURER E : INSURER F : 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. *AUDL"SUBR INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) POLICY EFF POLICY (MM/DD/YYYY) EXP LIMITS X COMMERCIAL GENERAL LIABILITY Y EACH OCCURRENCE $ 1,000,000 DAMAGE PREMISES TO (Ea RENTED occurrence) 1,000,000 $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ 5,000 A Y PSB0009013 09/01/2021 09/01/2022 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY Not JERQ PRODUCTS - COMP/OP AGG $ 2,0 000 0,0 OTHER: Employee Benefits $ Y COMBINED (Ea accident) SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY X ANY AUTO BODILY INJURY (Per person) $ A OWNED AUTOS ONLY SCHEDULED AUTOS Y PSA0002949 09/01/2021 09/01/2022 BODILY INJURY (Per accident) $ _ HIRED AUTOS ONLY _ NON -OWNED AUTOS ONLY PROPERTY (Per accident) DAMAGE $ $ X UMBRELLA LIAR Y EACH OCCURRENCE $ 2,000,000 OCCUR A EXCESS LIAB _ X Y PSE0004483 09/01/2021 09/01/2022 AGGREGATE $ 2,000,000 CLAIMS -MADE DED , XI RETENTION $ 10,000 $ WORKERS AND COMPENSATION EMPLOYERS' LIABILITY Y 1 N NIA I I PER STATUTE oTH ER WA Stop Gap PSB0009013 09/01/2021 09/01/2022 E.L. EACH ACCIDENT $ 1000000 , , A ANY OFFICER/MEMBER PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? ) 1 1,000,000 (Mandatory If DESCRIPTION in NH) yes, describe under OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1,000,000 $ A Professional Liability Each Claim $2,000,000 RDP0044641 09/01/2021 09/01/2022 Aggregate $4,000,000 Deductible $10,000 DESCRIPTION Project Spray OF OPERATIONS Park / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City Everett, its Additional insured CGD381 09/07. of officers, employees and agents are per CERTIFICATE HOLDER City of Everett 3101 Cedar Street Everett 1 WA 98201 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD