Agostino Construction 4/8/2016 - Laserfiche WebLink

Client#: 165116 AGOSCONS A-CO. RD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)3/23/2016 • 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 -Barb Lynch Propel Insurance PHONE 800 499-0933 Fa,No): 866.577.1326 (A/C, E Ext): " Seattle°Commercidl insurance ' E-MAILADDRESS: Barb.Lynch@propelinsurance.com 925 4th Ave,Suite 3200 +NsuRER(51 AFFORDING COVERAGE RAC# Seattle,WA 98104 INSURER A:Ohio Security Insurance Company 24082 INSURED INSURER B:The Ohio Casualty Insurance Com 24074 Agostino Construction Inc. INSURER C: 23418 SE 247th CT INSURER D: Maple-Valley,-WA-98038 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:: REVISION NUMBER ITHIS LS TO NDICATED. NOTWITHSTANDING NG AT THE NYC REIES QUIREMENT, TERM TERME (OR CONDI ON OFBELOW EBEEN ANY CONTRACT OR OTHER DOCUMTO THE INSURED ENT WITH REE SP CTR ETO WH CH PERIOD 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. LTR ADDL SUBR POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A GENERAL LIABILITY X X BKS56513607 02/05/2016 02/05/2017 EACH OCCURRENCE $1,000,000 pAMA�ETp RENTED $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) e 1 CLAIMS-MADE , X,OCCUR MED EXP)(Any one person) $_5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: — 7 POLICY X PE LOC $ COMBIED SINGLE LIMIT A AUTOMOBILE LIABILITY BAS56513607 0210512016 0210512017 (Ea acciNdent) j1,000,000 BODILY INJURY(Per person) $ X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS PROPERTY DAMAGE $; X HIRED AUTOS X: AUTOSWNED I (Per accident B X UMBRELLA LIAB X OCCUR US056513607 02/05/2016 02/05/2017 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED X RETENTION$10,000WC STATU- $ J &H- AND WORKERS COMPENSATION BKS56513607 02/05/2016 02/05/2017 TORY LIMITS ER AND EMPLOYERS'LIABILITY E.L.EAC+I ACCIDENT $1 X000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE,--- EXCLUDED?ECUTIVEN N/A WA stop Gap E.L.DISEASE-EA EMPLOYEE $1,000,000 (Mandatory in NH) Ifyes,gescribeunder E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) RE: Property leased at 4015 Railway Ave,Everett,WA 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 Attn: Michael Palacios ACCORDANCE WITH THE POLICY PROVISIONS. . 3200 Cedar St Everett,WA 98201 AUTHORIZED REPRESENTATIVE I ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD gAL01 #S2126359/M2028225