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Client#:25326 KPFFINCO
<br /> ACORD,M, CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDlYYYY)
<br /> 10/18/2021
<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(les)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 any rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER NAMEACT Sabrina Wynn
<br /> Greyling Ins.Brokerage/EPIC PHONE 4707852254 FAX
<br /> (AlC,No,Eat): (A/C,No):
<br /> 3780 Mansell Road,Suite 370 n DRliss: sabrina.wynn@greyling.com
<br /> Alpharetta, GA 30022 INSURER(S)AFFORDING COVERAGE NAICE
<br /> INSURER A:National Union Fire Ins,Co. 19445
<br /> INSURED INSURER B:The Continental Insurance Company 35289
<br /> KPFF,Inc.
<br /> 1601 5th Ave `INSURER c:New Hampshire Ins,Co. 23841
<br /> INSURERD:Allied World Surplus Lines Ins 24319
<br /> Suite 1600
<br /> Seattle,WA 98101 INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 21-22 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 ADDLSUSR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD!YYYY) (MMIDDIYYYY) LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY GL5268336 04/01/2021 04/01/2022 EACH
<br /> q�OCCURRENCE $1,000,000
<br /> CLAIMS-MADE I XI OCCUR PREMISES{Eaoca nonce) $500,000
<br /> MED EXP(Any one person) $25,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> v PRO-
<br /> POLICY X JET I I LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY CA9775930 04/01/2021 04/01/202$gacciideDni INGLE LIMIT $2,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> —OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
<br /> X HIRED NON-OWNED PROPERTY DAMAGE
<br /> X AUTOS ONLY X AUTOS ONLY (Per accident) $
<br /> $
<br /> B x UMBRELLA LIAB X OCCUR 6050399824 04/01/2021 04/01/2022 EACH OCCURRENCE $10,000,000
<br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED X RETENTION$° $
<br /> C WORKERS COMPENSATION WCO22298245(AOS) 04/01/2021 04/01/2022 X PER OTH-
<br /> ERAND EMPLOYERS'LIABILITY Y/N STATUTE
<br /> �' OFFICEWMEMBER EXCLUDED?ECUTIVE N NIA WCO22298244(CA) E.L.EACH ACCIDENT 81,000,000
<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 Professional! 03120067 10/10/2021 10/10/2022 Per Claim$10,000,000
<br /> Pollution Aggregate$10,000,000
<br /> Liability SIR:$250,000
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> Re: 10042100441;Eclipse Mill.
<br /> City of Everett, its officers,employees and agents are named as Additional Insureds on the above
<br /> referenced liability policies with the exception of workers compensation&professional liability where
<br /> required by written contract.
<br /> The above referenced liability policies with the exception of workers compensation and professional
<br /> (See Attached Descriptions)
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Attn: Dean Shaughnessy ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 3200 Cedar Street
<br /> Everett,WA 98201-0000 AUTHORIZED REPRESENTATIVE
<br /> O 1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br /> #S2943301/M2900361 SWYO 1
<br />
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