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r <br /> J • <br /> ACORD_ CERTIFICATE OF LIABILITY INSURANCEP1DCI10-26AT2005 <br /> j PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> I BROWN & BROWN OF WA, INC/TACOMA/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 811153 P: (866) 467-8730 F: (877) 905-0457 ! ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> P0 BOX 33015 <br /> SAN ANTONIO TX 78265 ! INSURERS AFFORDING COVERAGE <br /> INSURED - `INSURER Al Hartford Casualty Ins Co. <br /> CHS ENGINEERS, LLC;MCANDREWS GROUP TMG !INSURER B:Hartford Fire Ins Co <br /> & MCANDREWS GROUP LTD !INSURER C: <br /> 12507 BEL RED RD. STE 101 ?INSURER D: <br /> BELLEVUE WA 98005 I INSURER E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 1 <br /> POUCIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> WSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> DATE(MM/DD/YYI DATE(MM/DD/YY1 <br /> _GENERAL LIABILITY EACH OCCURRENCE $1, 000, 000 <br /> A COMMERCIAL GENERAL UABIUTY 52 SBA PR2460 07/30/05 07/30/06 FIRE DAMAGE.(Any one fire) $1, 000, 000 <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $10, 000 <br /> X Business Liab PERSONAL&ADV INJURY $1, 000, 000 <br /> GENERAL AGGREGATE $2, 000, 000 <br /> GEN'L AGGREGATE OMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2, 000, 000 <br /> —I POLICY I 1 JEC7 X LOC _ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> B ANY AUTO 52 UEC UM6890 07/30/05 07/30/06 (Ea accident) 51, 000, 0001 <br /> 1 <br /> ALL OWNED AUTOS BODILY INJURY ' <br /> X SCHEDULED AUTOS )Per person) S <br /> HIRED AUTOS BODILY INJURY <br /> (Per accident $ <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE• $ <br /> (Pee accident) <br /> GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTOOTHER THAN EA ACC $ <br /> AUTO ONLY: AGG s <br /> EXCESS LIABILITY EACH OCCURRENCE $2, 000, 000 <br /> A XI OCCUR CLAIMS MADE 52 SBA PR2460 07/30/05 07/30/06 AGGREGATE s2 , 000, 000 I <br /> $ <br /> DEDUCTIBLE S <br /> X RETENTION $10, 000 S <br /> WC STATU- OTH- <br /> WORXERSCOMPENSATION AND TORY UMITS ER <br /> A EMPLOYERS'LIABILITY 52 SBA PR2460 07/30/05 07/30/06 EL EACH ACCIDENT $1, 000, 000 <br /> E.L DISEASE-EA EMPLOYEE $1, 000, 000 <br /> EL DISEASE-POUCY UMIT $1, 000, 000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/L OCA TIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Those usual to the Insured' s Operations . City of Everett is an additional <br /> insured per the business liability coverage form SS0008, attached to this <br /> policy. <br /> CERTIFICATE HOLDER IX ADDITIONAL INSURED:INSURER LETTER: A CANCELLATION <br /> I ;SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> ! EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 1 30 DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT)TO THE CERTIFICATE <br /> ;City of Everett HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO <br /> OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 13200 Cedar St . !REPRESENTATIVES. <br /> !Everett WA 98201 <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25-S (77) 1 <br /> /9 ©ACORD CORPORATION 1988 <br />