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A`CPR>fl® CERTIFICATE OF LIABILITY INSURANCE 12/19/220116) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER 1-908-566-1010 CONTACT <br /> NAME: <br /> Construction Risk Partners, LLC PHONE FAX <br /> (A/C.No.Ext): (A/C,No): <br /> E-MAIL <br /> Campus View Plaza ADDRESS: <br /> 1250 Route 28, Suite 201 INSURER(S)AFFORDINGCOVERAGE NAIC# <br /> Branchburg, NJ 08876INSURERA: ACE AMER INS CO 22667 <br /> INSUREDINSURER B: ZURICH AMER INS CO 16535 <br /> Amec Foster Wheeler Environment & Infrastructure, Inc. INSURER C: AMERICAN ZURICH INS CO 40142 <br /> 11810 North Creek Parkway N INSURERD: <br /> INSURER E: <br /> Bothell, WA 98011 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:48681777 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD /Y <br /> POLICY NUMBER (MM/DDYYY) (MM/DD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY HDO G24557728 05/01/16 05/01/17 EACH OCCURRENCE $ 2,000,000 <br /> DAMAGE TO CLAIMS-MADE X OCCUR PREMISES(Ea occu ence ) $ 100,000 <br /> MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 2,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> POLICY X PRO- X JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY BAP 9483148-05 05/01/16 05/01/17 COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> X ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> XHIRED AUTOS X AUTOS (PerPROPERTYDAMAGE <br /> accident) <br /> nt) $ <br /> X Comp $1,000X Coll $1,000 $ <br /> UMBRELLA LIAB 1 OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> C WORKERS COMPENSATIONWC 3504866-15 05/01/16 05/01/17 X STATUTE ERH <br /> AND EMPLOYERS'LIABILITY Y/N <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE WC 3867133-09 05/01/16 05/01/17 E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> B Architects & Engineers Prof. IPR 1008375-01 05/01/16 05/01/17 Any One Claim/Agg 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Re: Misc. Natural Resources, Enviro, and Geotech, City of Everett Job No. 15705. <br /> The City of Everett Public Works, its officers, employees and agents are additional insured on the General Liability <br /> and Automobile Liability policies as required by written contract. Coverage is primary and non-contributory where <br /> required by written contract. 30 days notice of cancellation applies per policy provisions. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Everett Public Works THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 3200 Cedar Street AUTHORIZED REPRESENTATIVE <br /> Everett, WA 98201 /� <br /> USA W (Z, <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> Sklein <br /> 48681777 <br />