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3 <br /> ACORCI CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 09/29/2 DATE 0) <br /> PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Willis HRH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P. 0. Box 305191 , <br /> Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED GED Inc. INSURER A:Lloyd's, U/W at, London, Sponsoring Syndi 15792-000 <br /> 1201 Third Avenue - INSURER El: <br /> Suite 1500 <br /> Seattle, WA 98101 INSURER C: <br /> INSURER D: <br /> I INSURER E: . <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED-NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED-OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR kDO'L POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR NSRO TYPE OF INSURANCE . POUCY NUMBER DATE IMMIDD/YYYY)DATE IMMIDDIYYYYI LIMITS <br /> GENERAL LIABILITY EACH OCCC�UUpRRENCE $ <br /> COMMERCIAL GENERAL LIABILITY <br /> DAMAGE <br /> R MSES(Eaocauence) $ <br /> CLAIMS MADE OCCUR MED EXP(Anyone person) S <br /> PERSONAL S ADV INJURY $ <br /> GENERAL AGGREGATE. S <br /> GEN'LAGGREGATELIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> n jE7 <br /> 7 POUCY r---1 LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE UMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED.AUTOS <br /> SCHEDULED AUTOS BODILY INJURY <br /> (Per person) $ <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ■ ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS(UMBRELLA UASIUTY EACH OCCURRENCE $ <br /> III OCCUR I I CLAIMS MADE AGGREGATE $ <br /> $ <br /> ■ DEDUCTIBLE - $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION TORY LIMITS ER <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETOR/PARTNER/EXECUTIVEI I El.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ <br /> Wye%describe under EL DISEASE-POLICY LIMR $ <br /> SPECIAL PROVISIONS below <br /> A OTHER: Claims Made 576MNJ6065 12/15/2008 12/1/2009 $2,000,000 Each Claim <br /> Professional Liability $2,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Re: 126th Street SE Drainage Final Design. 860902946 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$0 SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> City of Everett <br /> Attn: Heather Griffin, PE REPRESENTATIVES. <br /> 3200 Cedar Street A OR DREPlRJSEN1c: . <br /> TIVE �� 1. <br /> Everett, WA 98201 �)I/`�`�✓� iJ__ <br /> ACORD 25(2009/01) Coll:2819969 Tpl:985294 Cert: 146972 0182009ACORDCORPORATION.Allrightsreserved. <br /> The ACORD name and logo are registered marks of ACORD <br />