Murray, Smith, and Associates, Inc. 2/1/2017

ACCH? CERTIFICATE OF LIABILITY INSURANCE M/DD/YYW) 02//01/201/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marsh Sponsored Programs PHONE 800-338-1391 FAX 888-621-3173 a division of Marsh USA Inc. (AIC.No.Ext: (AIC,No): PO Box 14404 ADDRESS:acecclientrequest@marsh.com Des Moines IA 50306 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Hartford Accident & Indemnity Co 22357 INSURED INSURER B:Sentinel Insurance Company Ltd 11000 Murray, Smith & Assoc. Inc. INSURERC:Hartford Underwriters Insurance Co 30104 888 SW 5th Avenue, #1170 Portland, OR 97204 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (IAM/DDIYYYY) (MM/DD/YYYY) A GENERAL LIABILITY Y 84SBWCG0421 11/01/2016 11/01/2017 EACH OCCURRENCE $2,000,000 AMAGE TOX COMMERCIAL GENERAL LIABILITY Sev. of Interest Prof. Liab. Excl. PREM SES(EaEoccu NTEante) $2,000,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) _ $10,000 X EL and Stop Gap-WA PERSONAL&ADV INJURY $2,000,000 $500k/$500k/$500k GENERAL AGGREGATE $4,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $4,000,000 POLICY X JEC PROT n LOC $ C AUTOMOBILE LIABILITY Y 84UEGLN7493 11/01/2016 11/01/2017 COMBINED SINGLE LIMIT (Ea accident) $1.000.000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) _ A X UMBRELLA LIAB X OCCUR 84SBWCG0421 11/01/2016 11/01/2017 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 DED X RETENTION$10,000 $ B WORKERS COMPENSATION 84WBGBM8539 11/01/2016 11/01/2017WCSTATU- OTH- AND EMPLOYERS'LIABILITY X TORY LIMITS ER YIN ANY PROPRIETOR/PARTNER/EEECUTIVENIA E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE: MSA Project No. 16-1910 . City of Everett, its officers, employees and agents are included as additional insured on the above referenced policies when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Everett AUTHORIZED REPRESENTATIVE 3200 Cedar Street Everett, WA 98201 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD