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#4 URO CERTIFICATE OF LIABILITY INSURANCE I IJA/ W <br /> /UTT TT) <br /> 02/10/2004TM <br /> 7/DUCER (415) 712-3664 FAX (425) 712-3786 THIS CERTIFICATE IS ISSUED AS A MATTER OF.INFORMATION <br /> Ater, Leonard & Cahan, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> t11•Alderwood Mall Blvd, Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> J Box 6789 <br /> ynnwood, WA 98036 INSURERS AFFORDING COVERAGE NAIC# <br /> JRED ECS Engineering INSURER A: Continental Casualty Company►� Y (CNA) <br /> P.O.Box 12884 INSURER B: Transportation Insurance Company (CNA) <br /> Mill Creek, WA 98082-0884 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> IVERAGES <br /> HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINI <br /> JIY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> iIAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> 'OLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> t NSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) POLICY <br /> DAM/DD/TY)N LIMITS <br /> GENERAL UABILITY 135643593 06/20/2003 06/20/2004 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE PREMISES(OEREoNTEDDnce) $ 100,000 <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000 <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> —1 POLICY I L JERC- II LOC <br /> AUTOMOBILE LIABILITY B168197961 06/20/2003 06/20/2004 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ <br /> 1,000,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> 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 $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE -$ <br /> $ <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND 13 5643 593 STOP GAP-WA 06/20/2003 06/20/2004 TORRY LAM TS X OEER <br /> EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> E yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER <br /> 5CRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> ty of Everett, its officers, employees and agents are included as Additional Insured on General <br /> tbility as respects: <br /> )ject: Service Center Building 4 Generator Contract <br /> ERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <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• Mark Sadler BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 3200•Cedar Street V OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.TIy <br /> Everett, WA 98201 AUTHORIZED REPRESENTATIVE <br /> 6)441. <br /> J <br /> tik <br /> Jerry Kiser/TERRI <br /> ;ORD 25(2001/08) ©ACORD CORPORATION 1988 <br /> 5b <br />