Laserfiche WebLink
A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 5/15/2017 <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 CONTACT Christopher Day <br /> NAME: p <br /> FAX <br /> Orion Insurance Group (A/C No.EXtI: (425)771-5197 (A/C,No):(425)673-4427 <br /> 3405 188th ST SW ADDRESS:chrisday@orioninsgroup.com <br /> Suite #302 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Lynnwood WA 98037 INSURERARLI Insurance <br /> INSURED INSURER B Hanover Insurance/Allmerica <br /> AWA Electrical Consultants Inc INSURERC: <br /> 19015 36th ave W #E INSURER D: <br /> INSURER E: _ <br /> Lynnwood WA 98036 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER:CL1751500613 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTRINSD WVD POLICY NUMBER IMM/DDIYYYY) (MM/DD/YYYY) <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED 1,000,000 <br /> A CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ <br /> X Y PSB0002137 4/11/2017 4/11/2018 MED EXP(Any one person) $ 10,000 <br /> PERSONAL 8,ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO <br /> X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> - <br /> OTHER: OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> A ANY AUTO BODILY INJURY(Per person) $ <br /> ALLOWNED SCHEDULED PSB0002137 4/11/2017 4/11/2018 BODILY INJURY(Per accident) $ <br /> _ AUTOS X Y <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS (Per accident) <br /> $ <br /> II UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> A (Mandatory in NH) PSB0002137 4/11/2017 4/11/2018 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> B Professional Liability LH2961223104 7/10/2016 7/10/2017 $2,000,000 Each Claim $7,000 <br /> Claims Made $2,000,000 Aggregate Deductible <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Certificate is for any and all projects required. All required parties including Everett Transit are <br /> listed as additional insureds with primary and non-contributory wording with a waiver of subrogation in <br /> their favor. Cancellation wording is modified to 30 days. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Everett Transit THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 3225 Cedar Street ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Everett, WA 98201 <br /> AUTHORIZED REPRESENTATIVE <br /> Christopher Day/CD Com-,i'> <br /> ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD <br /> INS025 nn1401/ <br />