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2004/02/25 Council Agenda Packet
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2004/02/25 Council Agenda Packet
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Council Agenda Packet
Date
2/25/2004
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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> TM 02/10/2004 <br /> 'RODUCER (425) 712-3664 FAX (425) 712-3786 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Potter, Leonard & Cahan, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND;-EXTEND OR <br /> 4211 Al derwood Mall Blvd, Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> PO Box 6789 <br /> Lynnwood, WA 98036 INSURERS AFFORDING COVERAGE NAIC# <br /> NSURED ECS Engineering INSURER A: Continental Casualty Company (CNA) <br /> P.O.Box 12884 INSURER B: Transportation Insurance Company (CNA) <br /> Mill Creek, WA 98082-0884 INSURER C: <br /> INSURER Dr <br /> INSURER E: <br /> 7.OVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINI <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> JSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATIONLIMITS <br /> -TR INSRD DATE(MM/DD/YY) DATE(MM/OD/YYJ <br /> GENERAL LIABILITY 135643593 06/20/2003 06/20/2004 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE PREMISES TO(ERENTEa Dnce) 100,000 <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000 <br /> A PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GENT_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> —1 POLICY n Ter- [I LOC <br /> AUTOMOBILE LIABIUTY B168197961 06/20/2003 06/20/2004 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ <br /> • <br /> 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> B X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC f <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABIUTY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> 1 <br /> DEDUCTIBLE <br /> $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND 135643593 STOP GAP-WA 06/20/2003 06/20/2004 WC STAT U- X of FL <br /> EMPLOYERS'LIABILITY <br /> TORY LIMITS ER <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1 r 0� 000 <br /> OFFICER/MEMBER EXCLUDED? <br /> El.DISEASE-EA EMPLOYE $ 1,000,000 <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> :ity of Everett, its officers, employees and agents are included as Additional Insured on General <br /> -lability as respects: RECEIVED <br /> -ong Term Water Filtration Plant Power Reliability Study <br /> FEB 1 2 2004 <br /> CERTIFICATE HOLDER CANCELLATION OPERATIONS & <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEIMAe43IE W A N G E <br /> EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> City of Everett / 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Attn• John McClellan .// BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 3200•Cedar St OF ANY KIND UPON THE INSURER,ITS AGENTS g <br /> ORREP.R`ESENTATIVES. <br /> Everett, WA 98201 AUTHORIZED REPRESENTATIVE tJJerry Kiser/TERRI u <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />
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