Perteet, Inc. 2/23/2017 - Laserfiche WebLink

Client#: 326377 PERTEINC YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 111 DATE(2/2017 MM/DDIMWDDI 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: USI Kibble&Prentice PR PHONE (AIC,No,Ext):206 441-6300 FAX (A/C,No): 610-362-852 601 Union Street,Suite 1000 ADDRESS: PL.CertRequest@usi.biz Seattle,WA 98101 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Travelers Indemnity Company of 25682 INSURED INSURER B:Travelers Casualty and Surety C 31194 Perteet,Inc. INSURER C:Phoenix Insurance Company 25623 P.O. Box 1186 INSURER D: Everett,WA 98206-1186 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. LTR TYPE TYPE OF INSURANCE NSR WVD POLICY NUMBER /YPOLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MMIDDYYY) A �( COMMERCIAL GENERAL LIABILITY 6809A973147 06/27/2016 06/27/2017 EACH q�OCCURRENCE $1,000,000 PREMISES CLAIMS-MADE X OCCUR (EaEoNcccrence) $1,000,000 MED EXP(Any one person) $10 PERSONAL&ADV INJURY $1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000PRO- POLICY X ECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY BA9A974666 06/27/2016 06/27/2017 (E°accideDtSINGLE LIMIT j1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS _$ X HIRED AUTOS X AUUTOS�ED (PerePROPERTY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE _$ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 6809Am73147 06/27/2016 06/27/2017 STATUTE X ORTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N (WA Stop Gap) E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Professional 106321064 06/27/2016 06/27/2017 $2,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE:City of Everett On-Call Surveying Services-2017-2018. The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder only when there is a written contract that requires such status,and only with regard to work performed on behalf of the named insured. CERTIFICATE HOLDER CANCELLATION Cityof Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Shawn Bridge ACCORDANCE WITH THE POLICY PROVISIONS. 3200 Cedar St. Everett,WA 98201 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S19674957/M18008808 SKVZP