2006/09/20 Council Agenda Packet

4 ACORD CERTIFICATE OF LIABILITY INSURANCE Page 1 of 209/0DATE 6/2006 • PRODUCER 877-945-7376 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd- ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED URS Corporation INSURER A:National Union Fire Ins Co of Pittsburgh 19445-100 600 Montgomery Street, 25th Floor INSURER B: Insurance Company of the State of PA San Francisco, CA 94111 P Y 19429-100 INSURER C:American International South Insurance Co 40258-001 INSURER D:Lexington Insurance Company 19437-000 I INSURER E:Lloyd's of London/A.F. Beazley Syndicate 15792-200 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS A GENERALUABIUTY GL177-4688 4/1/2006 5/1/2007 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(OEaEo RENTED $ 1,000,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000 X XCII, BPPD PERSONAL SADV INJURY $ 1,000,000 X Contractual Liability' GENERAL AGGREGATE $ 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 5 2,000,000 POLICY X JET LOC A AUTOMOBILE LIABILITY CA826-2357 4/1/2006 5/1/2007 COMBINED SINGLE LIMIT A X ANY AUTO CA826-2360 4/1/2006 5/1/2007 (Ea accident) $ 2,000,000 A ALL OWNED AUTOS CA826-2361 4/1/2006 5/1/2007 BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG_$ EXCESS LIABILITY EACH OCCURRENCE _$ OCCUR I 1 CLAIMS MADE AGGREGATE S DEDUCTIBLE $ RETENTION S - $ B WORKERS COMPENSATION AND SPEC WC1359817 1 1 - WC STATU- OTH- EREMPLOYERS'LIABILITY / /2006 1/1/2007 X TORY LIMITS A ANY PROPRIETOR/PARTNER/EXECUTIVE CA WC1359815 1/1/2006 1/1/2007 E.LEACHACCIDENT - $ 1,000,000 C OFFICER/MEMBEREXCLUDED? GA WC1359816 1/1/2006 1/1/2007 E.L.DISEASE-EA EMPLOYEE 5 1,000,000 If yes,describe under B SPECIAL PROVISIONS below AOS WC1359818 1/1/2006 1!1/2007 E.LDISEASE-POLICY LIMIT S 1,000,000 D OTHER 1155961 E&O 4 1 2006 5/1 2007 E Professional Liability MLP0005 4/1/2006 5/1/2007 $1,000,000. Each claim w/Limited Contractual - $1,000,000. Aggregate Claims Made Policy DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Engineering Services for project: 36th Street Sewer Protecton City of Everett is additional insured where required by written contract. This insurance is primary and non-contributory with any other insurance carried by or for benefit of the additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,RS AGENTS OR City of Everett Attn: Souheil Nasr RE RESENTATIVES.3 \(�J , Everett, Cedar Street OR¢ED REPRESEj{TAT7VE "��/V • _ Everett, WA 98201 ,VINE ., ACORD 25(2001/08) Co11:1737830 Tp1:484028 Cert:76 5275 ©ACORD .ORPORATION1988 22