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Krazan and Associates Inc. 11/4/2021
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Krazan and Associates Inc. 11/4/2021
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Last modified
11/19/2021 1:13:21 PM
Creation date
11/19/2021 1:12:24 PM
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Contracts
Contractor's Name
Krazan and Associates Inc.
Approval Date
11/4/2021
End Date
12/31/2022
Department
Public Works
Department Project Manager
Amie Roshak
Subject / Project Title
Geotechnical Services for Water Main Repl W
Public Works WO Number
UP3766
Tracking Number
0003094
Total Compensation
$22,451.18
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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�A RU CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 10/25/2021 <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 /> (WC)Heffernan Insurance Brokers PHONE Shelaine Gonsalves FAX <br /> 1350 Carlback Avenue (A/C.No.Eat):925-934-8500 (A/C,No):925-934-8278 <br /> Walnut Creek CA 94596 ADDRESS: ShelaineG@heffins.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# _ <br /> INSURER A:Travelers Property Casualty Company of America 25674 <br /> INSURED KRAZ&AS-01 INSURER B: <br /> Krazan&Associates, Inc. <br /> 215 West Dakota Avenue INSURER C: <br /> Clovis CA 93612 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:52609125 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 LICY EXP <br /> LTR TYPE OF INSURANCE ADDLN SUBR POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) <br /> LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y P6600F55445ATIL21 10/1/2021 10/1/2022 EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $100,000 <br /> MED EXP(Any one person) $5,000 <br /> X Deductible$0 PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 -_ <br /> X POLICY PRO- <br /> JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 <br /> X OTHER: WA Stop Gap ELL WA Stop Gap ELL $1,000,000 <br /> A AUTOMOBILE LIABILITY Y 8106N8697512143G 10/1/2021 10/1/2022 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 /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ _ <br /> DED RETENTION$ $ <br /> A WORKERS COMPENSATION UB9H9483652143G 1/1/2021 1/1/2022 X <br /> AND EMPLOYERS'LIABILITY STATUTE OTH- <br /> ER <br /> Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <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 /> A WA STOP GAP UB9H9483652143G 1/1/2021 1/1/2022 LIMIT $1,000,000 <br /> EMPLOYERS LIABILITY <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CEO(Dean Alexander)is excluded. <br /> Re:KA Project#09221012,Water Main Replacement W(UP3766),Everett,WA.City of Everett,its officers,employees and agents are included as an <br /> additional insured(and primary)on General Liability and Automobile Liability policies per the attached endorsements,if required.Cancellation notice <br /> endorsement for the General Liability and Automobile Liability policies is attached,if required. <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 /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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