Service Electric Co Inc 2/6/2018

E(moottorwrrrn A� CERTIFICATE OF LIABILITY INSURANCE x'02/ 02109/2018 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 POUCIES 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 have ADDITIONAL INSURED provisions or 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 FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER PHONE FAX HOME OFFICE: P.O.BOX 328 (A/C,No,Ext):888-333-4949 (A/C,No):507-446-4664 OWATONNA, MN 55060 ADDRESS:CLI ENTCONTACTCENTER(a FEDI NS.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:FEDERATED SERVICE INSURANCE COMPANY 28304 - INSURED 333-971-0 INSURER B: SERVICE ELECTRIC CO INC INSURER C: PO BOX 1489 SNOHOMISH,WA 98291-1489 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:345 REVISION NUMBER:0 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. INSR TYPE OF INSURANCE '.DL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMMIDD/YYYY) (MM/DD/YYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) MED EXP(Any one person) EXCLUDED A Y Y 9408766 10/03/2017 10/03/2018 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 HPOLICY X JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 (Ea acddent) X ANY AUTO BODILY INJURY(Per person) OWNED AUTOS ONLY SCHEDULED A _AUTOS Y Y 9408766 10/03/2017 10/03/2018 BODILY INJURY(Per accident HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE _AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $9,000,000 A EXCESS LIAB CLAIMS-MADE N N 9408767 10/03/2017 10/03/2018 AGGREGATE _ $9,000,000 DED RETENTION PER STATUTE OER AMB EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 A OFFICER/MEMBER EXCLUDED? NIA N 9408766 10/03/2017 10/03/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION 333-971-0 345 0 CITY OF EVERETT- PURCHASING SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE 3200 CEDAR ST##5 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EVERETT,WA 98201-4516 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Int-ut,,,f,.,/ 6 )4A.,„ © 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD