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Krazan & Associates 11/3/2016
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Krazan & Associates 11/3/2016
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Entry Properties
Last modified
11/22/2016 10:11:41 AM
Creation date
11/22/2016 10:11:29 AM
Metadata
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Contracts
Contractor's Name
Krazan & Associates
Approval Date
11/3/2016
End Date
6/30/2017
Department
Public Works
Department Project Manager
Mike Kangas
Subject / Project Title
Materials Testing PSO 6 Reroute/Water Main Q
Public Works WO Number
UP3583, UP3612
Tracking Number
0000337
Total Compensation
$10,140.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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ACORD TM CERTIFICATE OF LIABILITY INSURANCE Date 1D0/5/2OD/YR) <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 BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE <br /> 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 the terms and <br /> conditions of the policy,certain policies require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such <br /> endorsement(s). <br /> PRODUCER CONTACT Shelaine Gonsalves <br /> Heffernan Insurance Brokers NAME: <br /> PHONE FAX <br /> 1350 Car)back Avenue (A/C No,Ext): 925-934-8500 (A/C,No): 925-934-8278 <br /> Walnut Creek,CA 94596 EMAIL ShelaineG(0theffins.com <br /> ADDRESS: <br /> CA License#0564249 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Travelers Property Casualty of America 25674 <br /> Krazan &Associates, Inc. INSURER B: Travelers Indemnity Co.of Connecticut 25682 <br /> 215 West Dakota Avenue INSURER C: <br /> CIOVIS, CA 93612 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 INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br /> ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF <br /> SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSRL TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> TR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED $300,000 <br /> PREMISES(Ea occurrence) <br /> X Stop Gap MED EXP(Any one person) $10,000 <br /> A X Deductible:$0 X P6600F55445ATIL16 10/1/2016 10/1/2017 PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 <br /> X POLICY PRO LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> JECT <br /> OTHER <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> (Ea accident) <br /> X ANY AUTO <br /> BODILY INJURY(Per person) $ <br /> B ALL OWNED AUTOS SCHEDULED <br /> AUTOS P8100F55445ATCT16 10/1/2016 10/1/2017 BODILY INJURY(Per accident) $ <br /> HIRED AUTOS Peaccident) <br /> NON-OWNED Or DAMAGE <br /> AUTOS ) <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ $ <br /> PER OTH <br /> STATUTE -ER <br /> E.L.EACH ACCIDENT $1,000,000 <br /> A EMPLOYERS'LIABILITY-Washington Stop Gap N/A PSMCUPOF55445ATIL16 10/1/2016 10/1/2017 <br /> E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Re:As Per Contract or Agreement on File with Insured. <br /> City of Everett,its officers,employees and agents are included as an additional insured(and primary)on General Liability policy per the attached endorsement,if required. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH <br /> City of Everett THE POLICY PROVISIONS. <br /> 3101 Cedar Street AUTHORIZED <br /> Everett,WA98201 REPRESENTATIVE <br /> ACORD 25(2014/01)• The ACORD name and logo are registered marks of ACORD ©1988-2010 ACORD CORPORATION.All rights reserved. <br />
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