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- . 6 •- <br /> • <br /> • <br /> • <br /> • <br /> .._---N ® DATE(MivUDD/YYYY) <br /> a � CERTIFICATE OF LIABILITY INSURANCE 30f2012 <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 i . <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 r <br /> certificate holder in lieu of such endorsement(s), -a • <br /> PRODUCER CONTACT <br /> • Aon Risk Services Northeast, Inc. s_ <br /> Parsippany N7 office PHONE N ,�); (BB6)283-7122 (NC.No.): (847) 953-5390 a <br /> 10 Lanidex Center West E-MAIL • <br /> P.O. Box 608 ADDRESS: - _ <br /> pars i ane Idl—n7nSa=nFinR NSA - - <br /> INSURERIS)AFFORDING COVERAGE NAIC d <br /> INSURED INWuRERA: American Zurich.Ins Co 40142 <br /> AMEC Environment & Infrastructure, Inc. • INSURERS: Zurich American Ins Co 16535 <br /> 11810 North-Creek Parkway N. <br /> Bothell WA 98011 USA INSURER C: - <br /> • INSURER 0: <br /> INSURER E <br /> INSURER F: - <br /> COVERAGES CERTIFICATE NUMBER:570046040685 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.. - Limits shown are as requested • - <br /> - INSRADDL SUER - POLICY EFF POUCI?EXP <br /> LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER ((MNIDDlYYTvYrYr)J�MWO�rYI'v� LIMITS <br /> B GENERAL LIABILITY . 010337359911 45/Di/2D1F7)5/Ul/2U13 EACH OCCURRENCE $2,000,000 _ <br /> DAMAGE TO RENTED $100,000 <br /> X COMMERCIAL GENERAL LIABILITY • PREMISES(Ea occurrence) <br /> CLAIMS-MADE n OCCUR MED EXP(Any one person) ¶5,000 <br /> • - PERSONAL&ADV INJURY $1,000,000 <br /> an <br /> . GENERAL AGGREGATE - 12,000,000 (.1. . <br /> m <br /> • GNt AGGREGATE LIMIT APPLIESPER: - PRODUCTS-COMP/OP AGG $2.000,000 <br /> POLICY ATET LOC.C . . - <br /> : • • o <br /> B AUTOMOBILE LIABILITY _ _ . -" BAP9483148-01 05/01/2012 05/01/2013 COMBINED SINGLE LN9T <br /> (Ea amide:AI 11,000,000 <br /> BODILY INJURY(Per person) o <br /> X ANY AUTO Z <br /> ALL OWNED . SCHEDULED BODILY INJURY(Per accident) - m <br /> X <br /> AUTOS —J NON PROPERTY DAMAGE AUTOS ' <br /> N _ <br /> X HIRED AUTOS X AUTOS-0WNF� (Per accident/ t� <br /> • <br /> • <br /> 1Ia1 <br /> . UMBRELLA LIABOCCUR EACH OCCURRENCE f..) - <br /> EXCESS LIAR CLAIMS-MADE <br /> AGGREGATE <br /> DED 'RETENTION <br /> A WORKERS COMPENSATION AND wc350486611 - 05/01/2012 05/01/2013 x I RY STTs ER <br /> EMPLOYERS'LIABILITY - <br /> AVE PROPRIETOR!PARTNER!EXECUTIVE Y!N EL EACH ACCIDENT 81,000,000 <br /> OFFICERtMEMBER E=LUDEDI `N 1 NIA <br /> (Mandatory In NH) EL DISEASE-EA EMPLOYEE $1.000,000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 51,000,GOD—_ <br /> B Archit&Eng Prof EOC938357804 05/01/2012 05/01/2013 Agg/occ $1,000,000 <br /> us Professional/Pollution <br /> . SIR applies per policy terns & conditions <br /> - <br /> • DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Isrequked) <br /> RE: Misc. Natural Resources, Enviro, and Geotech, city of Everett lob No. 15705. Where required by written contract the city <br /> of Everett Public works is included as an additional insured to the General Liability Policy. <br /> - <br /> er■ <br /> • <br /> . CERTIFICATE HOLDER - CANCELLATION • - <br /> rri <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 'es„1 <br /> • EXPIRATION DATE THEREOF,NOTICE WELL BE DELIVERED IN ACCORDANCE WITH THE <br /> • <br /> POLICY PROVISIONS. - t <br /> city of Everett Public Works AUTHORIZED REPRESENTATNE -..6. <br /> Attn: Paul Crane ar-J <br /> 3200 Cedar street a ., de. Warr- <br /> Everett wA 98201 USA • <br /> . <br /> • ©1988-21)10 ACORD CORPORATION.Alt rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD . <br /> - 33 • <br />