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AC Rom DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE E/32022
<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 /> NAME: Sarah Fish
<br /> AssuredPartners of Washington, LLC PHONE FAX
<br /> 19689 7th Ave NE, Ste 183, PMB#369 (A/C.No.Eat): 360-626-2961 (A/C,No):360-626-2961
<br /> Poulsbo WA 98370 ADDRESS: sarah.fsh@assuredpartners.com _
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Travelers Casualty and Surety Co of America 31194
<br /> INSURED 7547 INSURER B:Travelers Property Casualty Company of America 25674
<br /> TranTech Engineering LLC
<br /> 365 118th Avenue SE Suite 100 INSURERC:The Charter Oak Fire Insurance Company 25615
<br /> Bellevue WA 98005 INSURER D:The Phoenix Insurance Company 25623
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1336114815 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 SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)
<br /> C X COMMERCIAL GENERAL LIABILITY Y Y 6803J385690 7/22/2022 7/22/2023 EACH OCCURRENCE $2,000,000
<br /> DAMAGE TO RETED
<br /> CLAIMS-MADE X OCCUR PREMISES(ES a occurrence) $1,000,000
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $2,000,000
<br /> GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
<br /> POLICY X JECT LOC PRODUCTS-COMP/OPAGG $4,000,000
<br /> OTHER: $
<br /> D AUTOMOBILE LIABILITY Y Y BA9R516794 7/22/2022 7/22/2023 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 /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY (Per accident)
<br /> $
<br /> B X UMBRELLA LIAB X OCCUR Y CUP8N373636 7/22/2022 7/22/2023 EACH OCCURRENCE $3,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000
<br /> DED X RETENTION$1 ft Ann $
<br /> C WORKERS COMPENSATION 6803J385690 7/22/2022 7/22/2023 PER X OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER WA Stop Gap
<br /> ANYPROPRIETORJPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBEREXCLUDED? 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 Professional Liab;Claims Made 105315328 7/15/2022 7/15/2023 Per Claim $2,000,000
<br /> Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Everett is an Additional Insured on the Commercial General Liability and Auto Liability when required by written contract or agreement regarding
<br /> activities by or on behalf of the Named Insured.The Commercial General Liability insurance is primary insurance and any other insurance maintained by the
<br /> Additional Insured shall be excess only and non-contributing with this insurance.A waiver of subrogation applies to the Commercial General Liability,Auto
<br /> Liability, Umbrella/Excess Liability and Employers Liability in favor of the Additional Insured.
<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
<br /> Everett WA 98201 AUTHORIZED REPRESENTATIVE
<br /> 403,..ezt alefx
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<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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