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Client#: 166388 RODACONS3
<br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
<br /> 1/30/2018
<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 NAME ACT Diane Harding
<br /> Propel Insurance PHONE 800 499-0933 Ax 866 577-1326
<br /> (A/C,No,Ext): (FA1C No):
<br /> Tacoma Commercial Insurance ADDRESS: diane.harding@propelinsurance.com
<br /> 1201 Pacific Ave,Suite 1000 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Tacoma,WA 98402 INSURERA:Bitco National Insuance Company 20109
<br /> INSURED INSURER B:Navigators Specialty Insurance 36056
<br /> Rodarte Construction Inc. INSURER C:BITCO General Insurance Corpora 20095
<br /> 17 E Valley Hwy East
<br /> Auburn,WA 98092 INSURER D:
<br /> 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 ADDL'SUBR POLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYY_YJ (MM/DD/YYYYL LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY X X CLP3655184 06/20/2017 06/20/2018 EACH OCCURRENCE $1,000,000 pp
<br /> CLAIMS-MADE X OCCUR PREMISESO(Eaoccurrence) $300,000
<br /> X PD Ded:2,500 MED EXP(Any one person) $10,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY X ilk LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> c AUTOMOBILE LIABILITY X X CAP3655187 06/20/2017 06/20/2018 COMBINaccident) $1,000,000ED SINGLE LIMIT
<br /> (Ea
<br /> XI ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> X, HIRED AUTOS X N - WNED PROPERTY DAMAGE $
<br /> AUTOS (Per accident)
<br /> Xprive Oth Car $
<br /> A x UMBRELLA LIAB X OCCUR CUP2813790 06/20/2017 06/20/2018 EACH OCCURRENCE $5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
<br /> DED X RETENTION$1 0000 $
<br /> A WORKERS COMPENSATION CLP3655184 06/20/2017 06/20/2018PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> Y/N
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE WA Stop Gap E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<br /> (Mandatory in NH) 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 Excess Liability SE17EXC847675IV 06/20/2017 06/20/2018 $3,000,000 occurrence
<br /> $3,000,000 aggregate
<br /> A Install Floater CLP3655184 06/20/2017 06/20/2018 $250k limit/$1 k ded
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re: Legion Golf Course Stormwater Detention Project
<br /> City of Everett, including its officers,employees, agents and representatives are additional insured per
<br /> attached endorsements
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 3200 Cedar St ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Everett,WA 98201
<br /> AUTHORIZED REPRESENTATIVE�TA
<br /> ©1988-2014 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
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