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ACC CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDD/YYYY) 6/8/2022 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 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 Trish Fuqua NAME: Leavitt Group Northwest A/CNNo.Exit: (800)726 8771 FAX Noj: (e6eI72e-916e PO Box 65770 EAgA)L trish-fuqua@leavitt.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC lY University Place WA 98464 INSURERA:Continental Casualty Company 20443 INSURED INSURERB;Continental Insurance Company 35289 Redtail LLC INSURER c:Navigators Specialty Insurance Company 36056 PO Box 2394 INSURER D: INSURER E Snohomish WA 98291-2394 INSURER F: COVERAGES CERTIFICATE NUMBER:21-22 GL/AL/UMB/SG/POLL 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. INSR ADOL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN$D wvQ, POLICY NUMBER IMMIDD/YYYY) IMM/DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE X OCCUR DAMAGE TO RENTED 1,000,000 PREMISES(Ea occurrence) $ X Y 7015068928 7/23/2021 7/23/2022 MED EXP(Any one person) $ 15,000 PERSONAL BADV INJURY S 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B X ANY AUTO BODILY INJURY(Per person) $ — ALL OWNED —SCHEDULED 7015068931 7/23/2021 7/23/2022 BODILY INJURY(Per accident) $ AUTOS AUTOS —' NON-OWNEC PROPERTY DAMAGE HIRED AUTOS _AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESSLIAB CLAIMS-MADE AGGREGATE S 5,000,000 X 7015068945 7/23/2021 7/23/2022 Follow Form DED RETENTIONS 10,000 $ WORKERS COMPENSATION V PER X OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A A (Mandatory in NH) 7015068928 7/23/2021 7/23/2022 EL DISEASE-EA EMPLOYEE $ 1,000;000 If yes,describe under DESCRIPTION OF OPERATIONS below WA Stop Gap E.L DISEASE-POLICY IMIT $ 1,000,000 C Pollution Liability SF21ECP00O20ZIC 7/23/2021 7/23/2022 Deductible 110,000 $1,000,000 C Contractors Professional SF21ECP00O2OZIC 7/23/2021 7/23/2022 Deductible$15,000 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: WO No - UP3734 Shore Avenue Force Main See attached--- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Everett THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 2930 Wetmore Ave, Suite 800 ACCORDANCE WITH THE POLICY PROVISIONS. Everett, WA 98201 AUTHORIZED REPRESENTATIVE D E. Olson/TRFUQU J/ I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)