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l r A4C"rbr CERTIFICATE OF LIABILITY INSURANCE 7%2a� <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS N - - <br />CERTIFICA <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER R THE COVERAGE AFFORDED I BY THE EPOL CR. I ES <br />BELOW. THIS CERTIFICATE OF 114SURANCE 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 poiicy(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 1. CONTACT <br />`-'' <br />KRA TNSURANCE BROKERAGE I NAME: Seth Riddell <br />PHONE 530-605-4780 <br />2040 Shasta Street Ste C AIC No E.0: I FAX N� 6t�5_ <br />Redding, CA 96001 AbDRlESs:seth@kraftib, com <br />INSURER(S) AFFORDING COVERAGE <br />INSURED INSURER A Continental Casualty Company ; <br />INSURER B : Va ley Forge Insurance Company , <br />KDW Salas O'Brien, LLC INSURER C: <br />10202 5th Avenue NE, #102 INSURER <br />Seattle, WA 98125 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 F <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE l <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR SUBR <br />LTR TYPE OF INSURANCE INSR WD POLICY NUMBER I POLICY EFF POLICY EXP <br />GENERAL LIABILITY <br />(MMdDDJYI YY) -(M V,/DD7YYYY ( LIMITS <br />EACH OCCURRENCE $ Z O <br />COMMERCIAL GENERAL LIABILITY <br />[fl PREMISES (Ea occurrence) I $ 3� <br />F-1CLAIMS-M,AOE � OCCUR <br />$ MED EXP (Any one person) $ <br />86011111273 5%1/201$ 6/1%2015 PERSONAL &ADV INJURY $ 2,01 <br />GENERAL AGGREGATE S 4,0( <br />GENT AGGREGATE LIMIT APPLIES PER: POLICY I ! 0 <br />�^ 1 PE � n LOC PRODUCTS - COI✓ROP AGG $ 4 <br />I <br />11 <br />AUTOMOBILE LIABILITY I I l COMBI)J D INGLE LIMIT <br />XtEa aca lent S 1 , 0 ( <br />AT0 BODILY INJURY (Per Person) I S <br />ALL <br />LL Ol01I✓NED SCHEDULED 3601111131() 5/1/2015 6%1/2015 ! <br />B AUTOS AUTOS BODILY INJURY Per aa-.idenQ $ <br />HIRED AUTOS NON -OWNED - PROPERTY DAMAGE <br />AUTOS I5 <br />- I I (Per a.Iden-) . <br />UMBHLin <br />R <br />($ <br />$ EXCS-MADE 36011111355 5/1/Zoll 5/1/2016 EACH OCCURRENCE I $ 4 , 0C <br />+ I DED O O AGGREGATE $ q, 0 <br />I WORKERS COMPE14SATION I I VI+C S7ATU- <br />AND EMPLOYERS' LIABILITY OTH- <br />YrN I I I7ORYLIFLUTS i x l ER I <br />ANI' PROPRiETOPJ ARTNEWEJ:ECUTiVE 36011113274 5/1/2015 6/1/2016— <br />F -1 <br />B <br />OF D? <br />E>CLUDEbi I I N!A E.L. EACH ACCIDENT I$ 1, 0 C <br />1,-A .Pry In NH) L1 �T� STOP GAS <br />If yes, describe under E.L.DISEASE - EA EMPLOYEE S 1, OC <br />DESCRIPTION OF Or=ERATIONS —.,,I I I i. I E.L. DISEASE - POLICY LMUT 15 2.00 <br />AL I Professional I ! i A-Eri5s1877402 17/9/2015 17/9/2016S5,000,000 per cl� a: <br />�sabi lit -%5 , 000 , OOO aacsrecra <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES {Attach ACORD 507, Additional Remarks Schedule, if mere spaca is require) <br />Project: W P Facility Electrical Coordination & Fvire-tO-Water Studies <br />City of Everett and its appointed officials, officers, agents and employees are <br />included as additional insureds for general liability for the coverages <br />afforded, herein. Coverage is primary and includes waiver of subrogation. <br />. <br />CERTIFICATE HOLDER <br />ci t:r of <br />29310 Wetmore <br />SPOULD ANY OF THE ABOVE DE;SCROEO PPOUCIES 3F CANCELLED <br />THE EXPIRATIC1:1 DATE THEREOF 1•10T€CE `,+ILL - n`IIVE <br />ACCORDANCE VVI T H THE POLICY P OViS!01-!S <br />