2007/09/25 Council Agenda Packet

- . ACORDTM CERTIFICATE OF LIABILITY INSURANCE Page 1 of 209/11/2007 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0". Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED URS Corporation INSURERA: National Union Fire Ins Co of Pittsburgh 19445-100 600 Montgomery Street, 25th Floor INSURER B: Insurance Company of the State of PA 19429-100 San Francisco, CA 94111 -- INSURERC: American International South Insurance Co 40258-001 INSURERD: Lexington Insurance Company 19437-000 INSURERE: Lloyd's of London/A.F. Beazley Syndicate 15792-200 COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSR() TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS A x GENERAL LIABILITY GL197-9807 5/1/2007 5/1/2008 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISESO(Ea occurence) $ 1,000,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000 X XCU, BFPD PERSONAL&ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000 —1 POLICY X JE 0 ^LOC A AUTOMOBILE LIABILITY CA826-2672 5/1/2007 5/1/2008 COMBINED SINGLE LIMIT A X ANY AUTO CA826-2675 5/1/2007 5/1/2008 (Ea accident) $ 2,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WC7181937 1/1/20071/1/2008 X TORY OTH- ER EMPLOYERS'LIABILITY A ANYPROPRIETOR/PARTNER/EXECUTIVE WC7181903 1/1/2007 1/1/2008 E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBEREKCLUDED? WC7181935 1/1/2007 1/1/2008 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under B SPECIAL PROVISIONS below WC7181936 1/1/2007 1/1/2008 E.L.DISEASE-POLICYUMIT $ 1,000,000 D OTHER 1156494 E&O 5/1/2007 5/1/2008 E Professional Liability MMP0005 5/1/2007 5/1/2008 $1,000,000. Each Claim w/Limited Contractual - $1,000,000. Aggregate Claims Made Policy DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Engineering design and construction support services for Sewer System Capacity Improvements J City of Everett is included as Additional Insured(s) as respects the General Liability policy, where required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 31 DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR City of Everett Attn: Dave Voigt R RESENTATIVES- 2e0 cedar Street U ORI2ED REPRESE TAi jL IVE Everett, Everett, WA 98201 /�"�_- \\`�'lt.Jl\1. g, ACORD 25(2001/08) Co11:2105702 Tpl:625700 Cert:94 7348 ©ACORD CORPORATION 1988