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DYKEM-1 OP ID:J1 <br /> CCP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 01116/2017 <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 /> 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(les) 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 CONTACT <br /> The Rabourn Company,Inc. NAME: Kevin G. Rabourn <br /> 11400 S.E.8th Street,STE 220 PHONE 425-688-8600 <br /> (a/c,Ne,Ext/: jffl,No):425-688-9251 <br /> Bellevue,WA 98004 E-MAIL <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# _ <br /> INSURER A:Continental Casualty Company <br /> INSURED Dykeman, Inc. INSURER B: <br /> 1716 W.Marine View Drive <br /> Everett,WA 98201-2098 INSURER C <br /> INSURER D: <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 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 ADDL SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER <br /> (MM/DD/YYYY) (MM/DD/YYYY) LIMITS <br /> GENERAL LIABWTY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> —1 POLICY PRO- THF RARC)IIRN C P $ <br /> JECT LOC OM A!>LY MAKES NO <br /> AUTOMOBILE LIABILRY REPRESENTATION THAT THESE COVERAGES CEaMW EDtSINGLE LIMIT <br /> ANY AUTO COMPLY WITH OR FULLY SATISFY ANY BODILY INJURY(Per person) $ <br /> ALL OWNED —SCHEDULED INSURANCE OR INDEMNITY REQUIREMENTS <br /> AUTOS AUTOS IN ANY CONTRACT,WRITTEN ORAL OR IMPLIE BROPERTyDAMODILY INJURY Peraccidenl) $ <br /> HIRED AUTOS _ AUTOSNON-OPER <br /> ROPERCY DAMAGE <br /> PER ACCIDEN <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE <br /> AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'UABILITY TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Professional AEH00436818 03/01/2016 03/01/2017 Per Claim 2,000,001 <br /> Liability Aggregate 2,000,001 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> Evidence of Insurance CLAIMS MADE Deductible-$75,000 Re: Everett Public <br /> Library expansion, job #2016-027 <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITYO55 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 3103 Cedar Street <br /> Everett,WA 98201 AUTHORIZED REPRESENTATIVE <br /> 1988-2010 ACO CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />