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DATE(MM(DD/YYYY)
<br /> ACRD CERTIFICATE OF LIABILITY INSURANCE 5/1/2017
<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
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CON1NAMEACrSeth Riddell
<br /> KRAFT INSURANCE BROKERAGE PHONE 530-605-4780 FAJC
<br /> 2040 Shasta Street, Ste C h-MAL.E><t) iac,No>605-4782
<br /> Redding, CA 96001 ADDRESS.seth@kraftib.com
<br /> INSURER(S) AFFORDING COVERAGE NAICS
<br /> License#:OF42592 INSURER A Continental Casualty Company 20443
<br /> INSURED INSURER B:Valley Forge Insurance Company 20508
<br /> KDW Salas O'Brien, LLC INSURER C:
<br /> 10202 5th Avenue NE, #102 INSURER D•
<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 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.
<br /> INSR AWL SUER POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSR wvo POLICY NUMBERLIMITS
<br /> (MMlDDlYYYY) (MM/DDlYYYY)
<br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE I X COMMERCIAL GENERAL LIABILITY
<br /> PREMISES L(EEoccurrence) $ 300,000
<br /> CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000
<br /> B Y Y B6011111274 6/1/2016 6/1/2017 PERSONAL BADV INJURY $ 2,000,000
<br /> GENERAL AGGREGATE $ 4,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> PROT 7 LOC s
<br /> —1 POLICY X
<br /> JEC
<br /> AUTOMOBILE LIABILITY •COMBINED SINGLE LIMIT
<br /> (Ea accident) $ 1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED — SCHEDULED B6011111310 6/1/2016 6/1/2017
<br /> A AUTOS AUTOS BODILY INJURY(Per accident) $
<br /> NON-OWNED PROPERTY DAMAGE
<br /> _ AUTOS (Per accident) $
<br /> HIRED AUTOS
<br /> $
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> A EXCESS LIAB B6011111355 6/1/2016 6/1/2017 -
<br /> CLAIMS-MADE AGGREGATE $ 5,000,000 .
<br /> X DEO RETENTION$ 1,000 $
<br /> WORKERS COMPENSATION WC STATU- .,,,, OTH-
<br /> AND EMPLOYERS LIABILITY TORY LIMITS ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE (Y/N 86011111274 6/1/2016 6/1/2017 E.L.EACH ACCIDENT $ 1,000,000
<br /> B OFFICER/MEMBER EXCLUDED? I I N/A
<br /> (Mandatory in NH) WA STOP GAP E.L.DISEASE-EA EMPLOYEE$ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000
<br /> A Professional AEH591877402 7/9/2016 7/9/2017 $5,000,000 per claim
<br /> Liability $5,000,000 aggregate
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> Project: Swim Center Electrical Upgrade
<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 /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 3200 Cedar Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Everett, WA 98201 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIV
<br /> Alp
<br /> I4
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<br /> ©1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
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