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Client#: 95814 METRASSO <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> 8110/2016 <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(ies)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 /> NAME: <br /> Propel Insurance PHONE —xAX <br /> (A/C,No,Ext);800 499-0933 INo)mm866 577-1326 <br /> Tacoma Commercial Insurance ,E-MAIL <br /> ADDRESS: <br /> 1201 Pacific Ave, Suite 1000 INSURE R(S)AFFORDING COVERAGE NAIC# <br /> Tacoma,WA 98402 <br /> I INSURER A:Darwin Select Insurance Company <br /> INSURED I INSURER B: <br /> Metron &Associates Inc. <br /> 307 N.Olympic,Suite 205 I INSURER C: <br /> I- <br /> . <br /> INSURER D: <br /> Arlington,WA 98223 — —._.............. --- <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 /> �� TYPE OF INSURANCE '-"— IADDL SUBR) POLICY EFF �-"POLICY FJCP------"__._W "`•LIMITS <br /> 'NSR VD i--..._..........POLICY NUMBER M-(_MM/DDIYYYY)_(MM/DDIYYYY)....._.--------------.._..-__-_-.__.._..___-- .-.- <br /> GENERAL LIABILITY i EACH OCCURRENCE S <br /> i COMMERCIAL GENERAL LIABILITY PREM SES(Ea occuErrDence) S <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ . <br /> I <br /> ! � PERSONAL&ADV INJURY S <br /> GENERAL AGGREGATE S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> PRO- i <br /> POLICY n^..._.-. <br /> ( JE¢T LOC-....._..., -..._"_...._ 5 <br /> I <br /> AUTOMOBILE LIABILITY i _ COMBINED SINGLE LIMIT <br /> ANY AUTO BODILY INJURY(Per person) FS) <br /> acc <br /> 1 ?ALL OWNED SCHEDULED BODILY INJURY(Per ident $ <br /> ;AUTOS AUTOS <br /> HIRED AUTOS ` AUTOSNON-OWNEDI 'IPeRrracciiden DAMAGE S <br /> r <br /> S <br /> ! <br /> UMBRELLA LIAB OCCUR _._._ EACH OCCURRENCE S <br /> EXCESS LIAR 1 I CLAIMS-MADE AGGREGATE S <br /> iI ) <br /> ii..DED I l RETENTIONS......._.._-_----- ........................................----...----..._........_.._................--- .. -----..._...... <br /> WORKERS COMPENSATION i - WC STATU- ------i OTH- <br /> AND EMPLOYERS'LIABILITY ..........TORY LIMITS . I Eft._...._.._... ..-_.__—....__......... <br /> JMY!N i E.L.EACH ACCIDENT S <br /> _ <br /> ANY PROPRfETOR/PARTNER/EXECUTIVEII,N <br /> OFFICEREMBER EXCLUDED? 1:N/A ----.---._- <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE'$ <br /> I If yes,describe under • <br /> • <br /> -- 11...- <br /> DESCRIPTION OF OPERATIONS below - _E.L.DISEASE-POLICY LIMIT I _ - <br /> A Professional ^103069078 08/13/2016 08/1312017 $1,000,000 <br /> Liability • <br /> i $2,500 Deductible <br /> • <br /> I <br /> DESCRIPTION OF OPERATIONS i LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) <br /> RE: Operations of the Named Insured <br /> 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 /> Everett,WA 98201 <br /> AUTHORIZED REPRESENTATIVE <br /> . YrWtjtiLt <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S2331418/M2331416 TDS00 <br />