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DATE(MM/DD/YYYY) <br /> ACORO® CERTIFICATE OF LIABILITY INSURANCE <br /> 11/9/2016 <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 CONTACT Li <br /> NAME: nnea Svensson <br /> Hall&Company PHONE 360-626-2023 FAX 360-598-3703 <br /> 19660 10th Ave NE (A/C,No,Ext) AIC.No): <br /> Poulsbo WA 98370 AADDRess:Isvensson@hallandcompany.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Travelers Casualty and Surety Co of 31194 <br /> INSURED 7547 INSURER B The Travelers Indemnity Company of 25682 <br /> TranTech Engineering LLC INSURER C:The Travelers Indemnity Company 25658 <br /> 12011 NE 1st Street Suite 305 <br /> INSURER D:Travelers Property Casualty Company 25674 <br /> Bellevue WA 98005 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:613884288 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 ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD VI/VD POLICY NUMBER (MMIDDIYYYY) IMM/DDIYYYY) LIMITS <br /> D X COMMERCIAL GENERAL LIABILITY Y Y 6802835L114 7/22/2016 7/22/2017 EACH OCCURRENCE $1,000,000 <br /> DAMAGE CLAIMS-MADE X OCCUR PREM SESO(Ea occu ence) _$300,000 <br /> MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $2,000,000 <br /> POLICY X CrJELOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY Y Y BA5532L225 7/22/2016 7/22/2017 COMBINED <br /> aBINED SINGLE LIMIT $1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALLOSVNED SCHEDULED BODILY INJURY(Per accident) $ <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE <br /> AUTOS (Per accident) <br /> $ <br /> C X UMBRELLA UAB X OCCUR Y CUP6782Y730 7/22/2016 7/22/2017 EACH OCCURRENCE $1,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE _ $1,000,000 <br /> DED X RETENTION$10,000 $ <br /> D WORKERS COMPENSATION 6802835L114 7/22/2016 7/22/2017 PER H- <br /> STATUTE X 0TH WA Stop Gap <br /> AND EMPLOYERS'LIABILITY - <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? - <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 7/15/2016 7/15/2017 $1,000,000 Per Claim <br /> $2,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Project: Screen House Bridge Replacement at Water Filtration Plant <br /> The City of Everett, its officers, employees and agents are Additional Insured per the attached. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attn:Ed Fisher,P.E. ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 3200 Cedar Street <br /> Everett WA 98201 <br /> AUTHORIZED REPRESENTATIVE <br /> �•I <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br />