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I <br /> ACoR CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) <br /> I �.----"-' 01/27/2017 <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 /> I <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 the <br /> 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 /> I <br /> PRODUCER NAMEACNTCT Queenie Wong <br /> MHK Insurance Inc. (A//CC.No.Extl:780-464-9363 F(A//c,No):780 <br /> 12316 107 Avenue E-MAIL <br /> ADDRESS:gwnng <br /> I <br /> AB T5M 1Z INSURER(S)AFFORDING COVERAGE NAIL# <br /> Edmonton,Canada INSURER A:Liberty Mutual Insurance Company <br /> INSURED INSURER B <br /> American Process Group,Inc. <br /> 1201 Pacific Avenue,#600 INSURER C <br /> I <br /> INSURER D <br /> Tacoma WA 98402 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1 REVISION NUMBER: <br /> I <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 ADDL SUER POLICY EFF POLICY EXP <br /> ' LTR, TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DDIYYYY) IMM/DD/YYYYI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> 2,000 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br /> r7PREMISES(Ea occurrence) $ <br /> CLAIMS-MADE X OCCUR ..._ ' MED EXP(Any one person) $ <br /> I <br /> A X Includes Cross Liability TBI-B71-171138-016 04/19/2016 04/19/2017 PERSONAL&ADV INJURY $2,000,000 <br /> GENERAL AGGREGATE $5,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> 7 POLICY PRCT LOC $ <br /> JEC <br /> AUTOMOBILE LIABILITYMBSINGLE LIMIT <br /> (EaIKED $ <br /> ANY AUTO �11; COMBINED <br /> BINED BODILY INJURY(Per person) $2.000,000 CAD <br /> ALL OWNED —SCHEDULED BODILY INJURY(Per accident) $ <br /> A X AUTOS AUTOS 1000211723-01 04/19/2016 04/19/2017 — - <br /> HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> I <br /> AUTOS (Per accident) <br /> $ <br /> X UMBRELLA LIAR X OCCURIT F EACH OCCURRENCE $8,000,000 CAD <br /> A EXCESS LIAB CLAIMS-MADE 1000211725-01 04/19/2016 04/19/2017 _AGGREGATE $8,000,000 CAD _ <br /> I <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- 0TH- <br /> AND EMPLOYERS'LIABILITY TORY LIMITS ER <br /> A ANY PROPRIETORIPARTNER/EXECUTIVE Y^ WC2-B71-171138-026 04/19/2016 04/19/2017 E.L.EACH ACCIDENT $1.000.000 <br /> OFFICE/MEMBER EXCLUDED? I I NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS below <br /> • <br /> Contractor's Pollution Liability $2,000,000 Each Incident Limit <br /> A Includes Cross Liability �� UB1T01ABATH7116 04/19/2016 04/19/2017 $4,000,000 Policy Aggregate <br /> I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> Commercial General Liability Policy No.TB1-B71-171138-016: <br /> Additional Insured: City of Everett and its officers,elected officials,employees,agents,and volunteers but only with respect to liability arising out of the insured's <br /> operations.Primary&Non-Contributory. <br /> i Umbrella Liability Policy No.1000211725-01 is in Excess of the Commercial General Liability limit. <br /> AM's Best Rating:Liberty Mutual Insurance Company:A,Financial Size Category:XV <br /> 1 CERTIFICATE HOLDER CANCELLATION <br /> City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 3200 Cedar Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AMIPFKRTIVStinfriANCE INC. <br /> Everett WA 98201 <br /> I P,�r 61 _r✓. t <br /> I <br /> w� �i.Xo <br /> ©9 -2010 ACO CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br /> Clear All <br /> 1 <br />