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AC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> �---"" 5/31/2017 12/7/2016 <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 have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> CONTACT <br /> PRODUCER Lockton Companies NAME: <br /> 444 W.47th Street,Suite 900 PHONE(NC.NExt): 'FAX <br /> (A/C,No): <br /> Kansas City MO 64112-1906 E-MAIL <br /> (816)960-9000 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Hartford Fire Insurance Company 19682 <br /> INSURED BROWN AND CALDWELL INSURER B:Hartford Accident and Indemnity Company 22357 <br /> 1052422 AND ITS WHOLLY OWNED SUBSIDIARIES INSURER C:Twin City Fire Insurance Company 29459 <br /> AND AFFILIATES INSURER D: <br /> 201 NORTH CIVIC DRIVE,SUITE 115 INSURER E <br /> WALNUT CREEK CA 94596 <br /> INSURER F: <br /> COVERAGES * CERTIFICATE NUMBER: 14414594 REVISION NUMBER: XXXXXXX <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 INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y N 37CSEQU1172 5/31/2016 5/31/2017 EACH OCCURRENCE $ 2,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 2,000,000 <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> PPOLICY ECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY Y N 37CSEQU1173 5/31/2016 5/31/2017 Ea accidentSINGLE LIMIT $ 2,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> OWNED — <br /> AUTOS ONLY _ AUTOS SCHEDULED • BODILY INJURY(Per accident) $ XXXXXXX <br /> HIRED NON-OWNED i PROPERTY DAMAGE <br /> •y• AUTOS ONLY X AUTOS ONLY •— P <br /> ( er accident) <br /> $ XXXXXXX <br /> $ XXXXXXX <br /> UMBRELLA LIAB OCCUR NOT APPLICABLE �'� EACH OCCURRENCE $ XXXXXXX <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX <br /> DED RETENTION$ $ XXXXXXX <br /> WORKERS COMPENSATION X PER OTH- <br /> B N AND EMPLOYERS'LIABILITY 37WNQU1170 5/31/2016 5/31/2017 I STATUTE ER <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 37WBRQU1171 5/31/2016 5/31/2017 E.L.EACH ACCIDENT $ 2,000,000 <br /> OFFICER/MEMBER EXCLUDED? n N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 <br /> If yes,descnbe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - - <br /> RE:SID 73127 PROJECT TITLE:EVERETT WATER FILTRATION PLANT CLEARWELL ROOF REPLACEMENT DESIGN BUILD CONSULTING <br /> SERVICES.SEE ATTACHED. <br /> CERTIFICATE HOLDER CANCELLATION <br /> 14414594 <br /> EVE-19 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> CITY OF EVERETT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ATTENTION:RICHARD HEFTI ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 3200 CEDAR STREET <br /> EVERETT WA 98201 AUTHORIZED REPRESENTATIV <br /> ©1988°015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />