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<br /> ACRD DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 08/12/16
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER
<br /> 425-822-1368 CONTACT
<br /> Griffin MacLean,Inc.
<br /> 2340 130th Ave NE D150 425-822-2737 (PA/C,N,Ext): (AIC,No):
<br /> Bellevue,WA 98005 E-MAIL
<br /> Tony Neville ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Houston Specialty Insurance Co 12936
<br /> INSURED Alpine Waterproofing&Masonry INSURER B:Rockhill Insurance Company
<br /> Restoration LLC
<br /> 7309 121st Drive NE INSURER C:United Specialty Insurance Co
<br /> Lake Stevens,WA 98258 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSR WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY)
<br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> A X COMMERCIAL GENERAL LIABILITY X X TEN-17892 07/28/16 07/28/17 DAMAGE TO RENTED
<br /> PREMISES(Ea occurrence) $ 50,000
<br /> CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GENERAL AGGREGATE $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> POLICYX PRO LOC $
<br /> JECT
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> (Ea accident) $ _
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> NON-OWNED PROPERTY DAMAGE $
<br /> HIRED AUTOS _ AUTOS (Per accident)
<br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> C X EXCESSLIAB CLAIMS-MADE X X XSS08112016 08/11/16 08/11/17 AGGREGATE $ 3,000,000
<br /> DED RETENTION$ $ 3,000,000
<br /> WORKERS COMPENSATION WC STATU- OTH-
<br /> AND EMPLOYERS'LIABILITY TORY LIMITS ER ,
<br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N X TEN-17892 07/28/16 07/28/17 E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) WA STATE STOP GAP 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 /> B POLLUTION X X ENVP017716-00 08/11/16 08/11/17 OCC LMT 2,000,000
<br /> AGG LMT 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> Re:City of Everett-Police HQ-Masonry Cleaning and Repair-3002 Wetmore,
<br /> Everett,WA 98201
<br /> **See attached notepad**
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> EVERE-4
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Cityof Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 3101 Cedar Street
<br /> Everett,WA 98201
<br /> AUTHORIZED REPRESENTATIVE
<br /> ©1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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