|
�
<br /> CXOfC� ,
<br /> ,..,,, , .
<br /> . �:.u.i:.0
<br /> COMPANIES AFFORDING COVERAG6S�� � . ��
<br /> BRUNI�I-COLBATH, IIdC.
<br /> 201 I PACIFIC BLDG., 720 THlRD AVE ,,,,,.,,,, A NARTTORD ACCIDINI' � IND�T'1�`1ITY 00.
<br /> SEAi7LE, WA 98104 """' a __ - - =— �= � ,
<br /> TEL:(206) b25-I 123 � � �
<br /> ���r����� B CENTURY INDEPfT7ITY C0.
<br /> ilnin
<br /> Nf.VI nr:l` .' i � . .. Jtq: _ _._ .__ ___. . . . /�
<br /> ' � (:OMPqNv ■
<br /> I(�tli� V
<br /> JO}L�1 FLUKE t�Q'G. C0. , INC. -- -- —
<br /> P.O. BOX C 9090 ;;�;:';""' �
<br /> EVER�'iT, WASHINGIbN 98'L06 -- --
<br /> cnrnrr.rvv �
<br /> untu
<br /> This�smcen�ythatpoirc�esot�nsumnreiis�eCbe!owhavebee�rssuedto[�einsuretlnemNaboveantlaremtoruetlhnbme NYwlt�stan0��ga�yrr.hmrement,termorconCd�on
<br /> ol any mntracl or otlmr daument with respect to whK��hie ttrtilicete mey be�ssuM or maY OeNain,ihe mzureM.e aHorEeA by Ihe pc�KieS dexnbed�erein Is subiM lo all Ihc
<br /> Irrmz.rrdusions anG canEit�ons ol such poikles.
<br /> Limits of LIa6111t in T�ousan s( �
<br /> CUM'� 1.[uV LLGII
<br /> :• - �.fMi�� iNSUPANU .,. ..PIWv � ,�. .:.It �6iJrti�n�1
<br /> I 1 I.1 b OCNHPi 5 1 _
<br /> " —"—__ __ _ . _ - _ ___ _ — _. __ ..
<br /> � GENERAL UABILITY ��r,;mviniuer t f
<br /> A �1���:����u��,������ ��,�M 52 C112i�t 0300 4/1/86
<br /> vunrturroeMnr.t t ti
<br /> ��I•u;Mlii,. bPP+niIUNS
<br /> ��+7 r.r�cnion cVn counvV __ ___ '_
<br /> 411 ��nrnm� —i - - -
<br /> �(�p��t YfIIitGBOUNI� II�IRNf] �
<br /> `n�.+1����t)v(vr.�p S�NAIAnn bODIIVINJURYANu I q
<br /> IyV i �..,.i... tpAl INc:iV�N�lf PqOVfRiVD�MAGf � i JO�� t r)o0�
<br /> COMBMfO
<br /> �� I�:�'mI� IOPM �IN)Iqrz1Y �
<br /> ncMnGL
<br /> �� ✓n�P'INDCM COHIR4CIJR5 �� -- - -- -�
<br /> �}�' i�rnsrnni rt+lurrv rcasorvr.� v��.,,. � 5���
<br /> AUTOMOBILE LIABIUTY nooivinivar
<br /> t[ncnntRsoro f
<br /> UfOM�':I�JN`.icl t�.tl�l.• BOOIIYINIUPY f
<br /> If�CH PCCIDLNi)
<br /> ���OY/NII! 1'Ih)PlfliYfIRMRG! {
<br /> �❑ IIUIIU p00LLYIN1UHVAN(1 � � ���
<br /> �� hf:NOVfi10 PuOPCHIVDAMPf,f 3
<br /> t'JMHMCD _
<br /> . __. __.-_—
<br /> _'_—._' ___ __—_—__ . . _ � - - �
<br /> E%CESS LIABIUTY ��om�rmluernrv�n �
<br /> B �UMfl9tllp IORM {'�+OVLRIYUAMAi.( � Zf�O�� I � �.��QQf
<br /> CIU 550361 4/1/SG
<br /> � nt�m�n�nnuMnatun ruvms�n
<br /> I OHIA �
<br /> _ . . .-_. _-. . . . __. ___ — . _ __ .
<br /> � WORKERS'COMI'FNSATION - � �-
<br /> an.i
<br /> �
<br /> EMPIOYERS'UABILITY _ . _ . . -- - .
<br /> __ ._- . _._. .._._ ._-___ .. _. _ _ __ _ __ ._. . _. _-�
<br /> OTHER I
<br /> I
<br /> D1 , � � ' „� �� "� ��� "�"'�,� `���� ��' As respeccs Retention Pond to be constructed by John Pluke M g. o.
<br /> Inc. for new facility a[ 6920 Seaway 61vd. , Everett, Wa. Che City of Everetl is an additional
<br /> insured.
<br /> CanCGlla�ion .� . i y �I th� iL� �., Je�.� nt. ��1 p�hi icS Le cJn�CII� 1 h��arc �I .. ��xpndtlon oa�r U����i�,�f �hn �SSwmz i .�n
<br /> . �.��v�ll endc,rvoi lo mail �.(�- days wntlen noUCt �o thc b�lu�v narned ccrt,lr_.it.� holdrr. hi 1 fadur�� '
<br /> �..�. � �.uch noLce shall impose no ohhgalion or Ilabillty of any kmu up��n the cnmpany.
<br /> - — — - EIT: 4/1/85
<br /> , , ,, , � , , , , ��,� �.���,•_
<br /> Larry Crewford $RINNI-C�OI.BATI�, INC.
<br /> ingineerinp Jept. � ,/' �)
<br /> City of Everett _ _ B �✓f::^,ti '�-t� ��°"-'���-- ---
<br /> � 3200 Cedar St. �� ' ``��°"`�'°����
<br /> Gvcrett, Ida. 98201 Donald W. IIYtinmi
<br />
|