Laserfiche WebLink
ACORDY CERTIFICATE OF LIABILITY INSURANCE OP ID MJ DATE(MM/DD/YYYY) <br /> MTHEN-1 01/21/05 _ <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> tom Taylor Insurance Brks, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 3401 South 19th Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P.O. Box 7187 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> racoma WA 98406 <br /> Phone: 253-284-7900 Fax:253-284-7901 INSURERS AFFORDING COVERAGE NAIC# <br /> NSURED <br /> INSURER A: Hudson Specialty Insurance <br /> INSURER B: -------------------._.._.__. <br /> MTH Environmental LLC INSURER C: 1 _111:1111.-...-- ---- <br /> PO Box 110493 INSURER D: -- --- - - <br /> Tacoma WA 98411 ----- - i-_-.-_----------- <br /> INSURER E: <br /> OVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <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 /> ISH AUU'L — POLICY EFFECTIVE POLICY EXPIRATION - <br /> .TR INSRC TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> UAMAIE IU REN1tU --_._. <br /> A X X COMMERCIAL GENERAL LIABILITY FEC5103238 09/27/04 09/27/05 PREMISES(Ea occurence) $50,000 <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL 8 ADV INJURY $ 1,000,000 <br /> X Professional Liab GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> POLICY PRO- - <br /> — JECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) I $ <br /> ALL OWNED AUTOS -'J- <br /> BODILY INJURY <br /> - <br /> SCHEDULED AUTOS (Per person) $ <br /> -- HIRED AUTOS <br /> BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY --- <br /> 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 /> - <br /> DEDUCTIBLE $ <br /> RETENTION $ - -- <br /> $ <br /> WORKERS COMPENSATION AND WC S IA fU- UTH- <br /> EMPLOYERS'LIABILITY TORY LIMITS I j ER__- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L DISEASE-EA EMPLOYEE $- - <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> 'ertificate Holder is named as Additional Insured as per written contract, <br /> .er Form FEI 0104-319-E attached. <br /> ERTIFICATE HOLDER CANCELLATION <br /> CH I PP-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> CHIP Program <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 2 930 Wetmore Ave Ste 8B <br /> rg8 <br /> Everett WA 98201-4044 REPRESENTATIVES. <br /> AUT RIZED PR,E//SS TAT /,, k <br /> ORD 25(2001/08) , ACORD CORPORATION 1988 <br />