RH2 12/21/2017 - Laserfiche WebLink

ACoRE, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/28/2017 - 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(ies) 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jona Bolin NAME: Sammamish Insurance, Inc. (A/CNNo.Ext): (425)898-8780 AX(AIC No): (425)836-2865 704 228th Ave NE, PMB 373 E-MAIL ADDRESS:JonaBolin@msn.com INSURER(S)AFFORDING COVERAGE NAIC# Sammamish WA 98074 INSURER A:Ohl° Security Insurance Company 24082 INSURED INSURERB:The Ohio Casualty Insurance Company 24074 RH2 Engineering Inc INsuRERc:Continental Casualty Company 20443 22722 29th Dr SE Ste 210 INSURERD: INSURER E: Bothell WA 98021 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1751503054 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. ITNSR EFF POLICY EXP R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER (MM/POLIDY/YYYY) (MM/DD//YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE A CLAIMS-MADE X OCCUR PREMSESO(Ea occu RENTED $ 2,000,000 X BZS57962270 5/29/2017 5/29/2018 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTOS AUTOS BA557962270 5/29/2017 5/29/2018 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ ill UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LIAR CLAIMS-MADE AGGREGATE $ 2,000,000 DED X RETENTION$ 10,000 US05796227 5/29/2017 5/29/2018 $ PER X OTH- (EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 NIA OFFICER/MEMBER EXCLUDED? NgZS57962270 5/29/2017 5/29/2018 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 C Professional Liability AEH004312321 5/29/2017 5/29/2018 Per Claim $3,000,000 Claims Made Deductible $200,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Everett is named as additional insured where required by contract per BP7996 attached. Coverage is primary. Cancellation notice is 45 days except for non-pay and specific sturctural deficiencies per BP0106 attached. Project: City of Everett ShakeAlert CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN C/O Risk Manager ACCORDANCE WITH THE POLICY PROVISIONS. City Attorney's Office 2930 Wetmore Ave. , Suite 10C AUTHORIZED REPRESENTATIVE Everett, VI 98201 ---1:1_,..e. _-a� �- A Fugitt CPCU/JONA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)