2010/05/26 Council Agenda Packet

4 .I' DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/09/2010 PRODUCER Aon Risk Insurance services West, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LOS An eles CA office 707 Wi 1 shire Boulevard AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Suite 2600 COVERAGE AFFORDED BY THE POLICIES BELOW. TYPE OF INSURANCE Los Angeles CA 90017-0460 USA w NAIC# PHONE -(866) 283-7122 FAX -(847) 953-5390 INSURERS AFFORDING COVERAGE LTR Chartis Specialty Insurance company 26883 DATE(MM/D➢! INSUREDINSURERA: Tetra Tech, Inc. DATE(MMfDD/YYYl) INSURERS: Insurance company of the state of PA 19429 1420 Fifth Avenue, Suite 600 Seattle WA 98101 USA C INSURER C: National union Fire Ins co of Pittsburgh 19445 ._ INSURER D: Lexington Insurance company 19437 10/01/2010 b INSURER E: CTR nnnlie5 Der terms and conditions Of the DOIICV c a..v r rJa�rava.N 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. LIMITS SHOWN ARE AS REQUESTED INSRIADD'14 INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICYMIDD TION LIMITS LTR DATE(MM/D➢! DATE(MMfDD/YYYl) C GL4376193 10/01/2009 10/01/2010 EACH OCCURRENCE $1,000,000 GENERAL LJASILITY DAMAGE TO RENTED $100,000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)CLAIMS MADE X❑ OCCUR q MED EXP (Any one person) 5,M PERSONAL & ADV INJURY $1,000,000 N ❑ w GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER M O PRODUCTS - COMP/OP AGG $2,000,000 ❑ POLICY JECT ❑ LOC C AUTOMOBILE LIABILITY CA 826 33 86 10/01/2009 10/01/2010 COMBINED SINGLE LIMIT c Z (Ea accident) $1,000,000 X ANY AUTO w BODILY INJURY ALL OWNED AUTOS U SCHEDULED AUTOS (Per person) iu BODILY INJURY )( HIRED AUTOS U )( NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC ANY AUTO AUTO ONLY. AGG D EXCESS I UMBRELLA LIABILITY TH0900029 10/01/2009 1070-17201-0 EACH OCCURRENCE AGGREGATE $5,000,000 OCCUR ❑ CLAIMS MADE BDEDUCTIBLE RETENTION $100,000 WC 79 8 10 1 009 x WC STATU- OTH- TORY LIMITS ER6 OMPENSATION AND Y! N AOS EL EACH ACCIDENT $1,000,000 TLIABILITY WC6987923 10/01/2009 10/01/2010 ETOR/PARTNER/EXECUTIVE =�OFFICER/MEMBER CA EL DISEASE -EA EMPLOYEE $1,000,000 MBER EXCLUDED?n E.L DISEASE -POLICY LIMIT $1,000,000 NH) e under SPECIAL PROVISIONS below 10/01/2009 0 01 010 Each claim $5,000,000 ■ ACOPS1952583 OTHER Prof/Poll Liab Aggregate $5,000,000 Contractor Prof deductible $250,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ' Project start Date: 4/8/10, Project End Date: 12/31/11. Sob Description: Everett WFP Electrical Drawing Auto CAD Conversion Project (#1350H EANDC). City of Everett and its officers, employees and agents are included as Additional insured with respect to General Liability and Automobile Liability policies where required by written 1 CERTIFICATE HOLDER CANCELLATION City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Attn: Peter Berger DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3200 Cedar street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Everett WA 98201 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES o��/' AUTHORIZED REPRESENTATIVE man M47.1.c/U.v,r� Jl. ACORD 25 (2009/01) 01988-2009 ACORD CORPORATION. All rights reserve The ACORD name and logo arfni! red marks of ACORD