Laserfiche WebLink
• <br /> . 11 <br /> A <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) <br /> � A 05/02!2012 <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 cd—_' <br /> certificate holder in lieu of such endorsement(s). 72 <br /> 'B <br /> PRODUCER CONTACT NAME: <br /> Aon Risk Services Northeast, Inc. PHONE (866) 283-7122 FAX (847) 953-5390 m <br /> New York NY Office (AIC.No.Ext): (A/C.No.): 'a <br /> 199 Water Street E-MAIL 5 <br /> New York NY 10038-3551 USA ADDRESS: _ <br /> - INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Steadfast Insurance Company 26387 <br /> ICF ]Ones & Stokes, Inc. INSURER B: Great Northern Insurance Co. 20303 <br /> 9300 Lee Highway INSURER C: <br /> Fairfax VA 22031-1207 USA <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:570046078009 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 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.ES.L MITS SHOWN MAY HAVE BEEN REDUN,THE INSURANCE AFFORDED BY THE OCED BY PAID CLAIMS.LICIES DESCRIBED HEREIN IS SUBJECT TO ALL Limits shown areTs TERMS, <br /> as requested <br /> INSR ADDL SUBR POLICY NUMBER POUCY EFF POLICY EXP <br /> OF INSURANCE - LIMITS <br /> TYPE INSR WVD MMIDDI/YyYYYYYY��__ {MMIDD/YYYY <br /> B GENERAL LIABILITY 35812409 06/25/201106/25/20 EACH OCCURRENCE $1,000,000 <br /> — Package - Domestic DAMAGE TO RENTED $1,000,000 <br /> X COMMERCIAL GENERAL LIABIUTY PREMISES(Ea occurrence) <br /> CLAIMS-MADE I X I OCCUR MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 0 <br /> X Prod-Comp Op Incl in Gent Aggo <br /> GENERAL AGGREGATE $2,000,000 m <br /> X Contractual Liability0 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG v <br /> X I POLICY II PRO- 1 1 LOC ca <br /> FCT 1 ' <br /> to <br /> B AUTOMOBILE LIABIUTY 73522955 06/25/201106/25/2012 COMBINEDSINGLELIMIT $1,000,000 <br /> ' Automobile - All States (Ea accident) . <br /> BODILY INJURY(Per person) O <br /> X ANY AUTO Z <br /> ALL OWNED —SCHEDULED BODILY INJURY(Per accident) 0 <br /> AUTOS _AUTOS PROPERTY DAMAGE at <br /> X HIRED AUTOS X NON-OWNED (Per accidentt.= <br /> AUTOS <br /> • 0) <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE 0 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE <br /> DED RETENTION . <br /> WORKERS COMPENSATION AND WC STATU- 10T,--r <br /> . EMPLOYERS <br /> THEMPLOYERS'LIABIUTYTORY LIMITS ER <br /> ANY PROPRIETOR I PARTNER 1 EXECUTIVE YIN EL EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? I I N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE <br /> If yyes,describe under EL DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS below <br /> A E&o-MPL-Primary PEC 913140704 06/25/2011 06/25/2012 Prof Liab Agg - All $1,000,000 <br /> Errors & Omissions Overall policy aggr' $1,000,000= <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) 's-'-, <br /> 1 - Professional Liability is a claims Made policy. There is no Additional insured status on the Professional Liability c—_--. <br /> coverage. ---- <br /> 2 - The City of Everett, its officers, employees and agents are included as Additional Insureds as their interest may appear as <br /> respect General and Automobile Liability. <br /> 3 - Subject to the terms and conditions of the individual policies, the indicated coverage is primary but only as respects work <br /> .74 <br /> 1- <br /> CERTIFICATE HOLDER CANCELLATION <br /> s <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE '''si <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE - <br /> POLICY PROVISIONS. _--: <br /> City of Everett AUTHORIZED REPRESENTATIVE <br /> 3200 Cedar street <br /> Everett, WA 98201 USA e.__ ���d �t fs�f71R itEr <br /> --aes <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br /> 83 <br />