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Client#: 320284 REIDMID
<br /> ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DD/YYYY)2/24/2017
<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(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 /> USI Kibble&Prentice PR PHONE 206 441-6300 FAX 610-362-8528
<br /> ADDR
<br /> 601 Union Street,Suite 1000
<br /> (A/C,
<br /> e Male'Ext): (NC,No):
<br /> Ess: PL.CertRequest@usi.com
<br /> Seattle,WA 98101 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:American Casualty Co of Reading 20427
<br /> INSURED INSURER B:XL Specialty Insurance Company 37885
<br /> Reid Middleton, Inc.
<br /> INSURER C:
<br /> 728 134th St SW, Suite 200
<br /> INSURER D:
<br /> Everett,WA 98204-7332
<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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY 3011014358 11/01/2016 11/01/2017 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X OCCUR PREMISES(EaEoNccTurrence) $1,000,000
<br /> MED EXP(Any one person) $10
<br /> PERSONAL&ADV INJURY _ $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $2,000,000
<br /> PRO-
<br /> POLICY X ECT LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY 3011014375 11/01/2016 11/01/2017 (ECOMBIaaccNEiden
<br /> Dt) $1,000,000 SINGLE LIMIT
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOSPROPERTY
<br /> X HIRED AUTOS X AUTOS ED
<br /> (Per accident)AMAGE
<br /> UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION 3011014358 11/01/2016 11/01/2017 STATUTE X 0TTH-
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N (WA Stop Gap) E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> B Professional DPR9908284 11/01/2016 11/01/2017 $2,000,000 per claim
<br /> Liability $3,000,000 annl aggr.
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> RE: RM Project#262017.913.018,Everett Public Works Buildings Seismic Assessments and Upgrade Concepts.
<br /> The General Liability and Automobile Liability policies include an automatic Additional Insured endorsement
<br /> that provides Additional Insured status to City of Everett,its officers,employees and agents,only when
<br /> there is a written contract that requires such status,and only with regard to work performed on behalf of
<br /> the named insured.The General Liability and Automobile Liability policies contains a special endorsement
<br /> with Primary wording,when required by written contract.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> Cityof EverettSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Attn: Chris Lark ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 3200 Cedar Street
<br /> Everett,WA 98201 AUTHORIZED REPRESENTATIVE
<br /> laitadiair
<br /> ©1988-2014 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br /> #S19929260/M19218141 JZSZP
<br />
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