2013/02/27 Council Agenda Packet

• '`' CERTIFICATE OF LIABILITY INSURANCE °ATQ4130t2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS • CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED •REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the �°1 • certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MI NAME — Aon Risk services Northeast, Inc. PHONE (g66) 283-7122 • Parsippany NJ Office (Arc.No.Ext) FAX (647) 953 5390 `m 10 Lanidex Center West ts 5 P.O. sox 606 E-MAILAADo ESS: • v • Parsippany NJ 07054-0608 USA = . INSURER(S)AFFORDING COVERAGE NAILS • ' INSURED INSURER A: American Zurich Ins Co 40142 AMEC Environment &Infrastructure, Inc, INSURER Zurich American Ins CO 16535 • .: 11810 North Creek Parkway N. Bothell WA 98011 USA INSURER C: INSURER D: . INSURER E: •• INSURER F: • " COVERAGES CERTIFICATE NUMBER:570046040675 'REVISION NUMBER: THiS iS TO CERTIFY THAT 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.LiMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested `-,' WEE• LTYPE OF INSURANCE ADM SUER .- - POLICY EFF POLICY EXP B INSR WVD POLICY NUMBER (MWDDNYYY) WMM,OD(YYYYI • LIMITS GENERAL LIABILITY GL0337359911• 05/0112012 45/01/2013 EACH OCCURRENCE 52,000,000 • X COMMERCIAL GENERAL LIABILITY ' - DAWGETO RENTED • PREFASES(Ea occurrences $100,000 CLAIMS-MADE n OCCUR MED EXP(Any one person) 15,000 PERSONAL&ADV INJURY $1,000,000 ti • GENERAL AGGREGATE $2,000,000 8 • GENLAGGREGATE LIMITAPPLIESPEI PRODUCTS-COMP/OP AGO $2,000,000 rho POLICY 1 IJECL ]LOC • - o B AUTOMOBILE LIABILITY SA1,9463148-01 05/01/2012 05/01/2013 COMBINED SINGLEUMIT u' Ea amidst/II $1,000,000 X ANY AUTO BODILY INJURY(Per person) • O ALLOWNED —SCHEDULED z • X AUTOS AUTOS BODILY INJURY(Per accident) p X HIRED AUTOS )( NON-OWNED• PROPERTY DAMAGE V —• . _AUTOS (Pereccidenp - w- -- • N UMBRELLA UAB OCCUR EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE • AGGREGATE DED( RETENTION • • - A WORKERS COMPENSATION AND WC350486611 05/01/2012 05/01/2013 x WYMire 041-1 - - EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YlN E.L EACH ACCIDENT $1,000,000OFFICERMEMBER EXCLUDED'? n N IA (Mandatory in NH) EL DISEASE-FA EMPLOYEE 11,000,000 DsCtlPsTOe OundOP OPERATIONS below EL DISEASE-POLICY LIMIT .' $1,000,000__ • M DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attach ACORD 181,Additional Remarks Schedule,if more apace Is required) city of Everett Job No. 15705, Misc. Natural Resources, Enviro, and Geotech. where required by written contract the City of Everett public works is included as an additional insured to the General Liability Policy. .711. CERTIFICATE HOLDER CANCELLATION N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE - - EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE • • POLICY PROVISIONS. 4 city of Everett Public works AUTHORIZEDREPRESENTATNE 5.1-Q Attn: Paul Crane Everett• 3200 cedar.Street WA 98201 USA SA te' Q, - Et eXYvsw a,i• - ©195B-2010 ACORD CORPORATION,All rights reserved. ' ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD - ' - 34