Laserfiche WebLink
ACO YYYY) <br /> (MM/DD/DD/ <br /> CERTIFICATE OF LIABILITY INSURANCE DATE 12/11/ <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 Karen Bronson <br /> 4 NAME: <br /> CorRisk Solutions PHONE FAX <br /> 225 W. Washington St. Suite 1560 <br /> (A/C,No, 312-263-4218 WC,No. ,: <br /> Chicago, IL 60606 ADDRESS: kbronson@corrisksolutions.com <br /> • INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A: New Hampshire Insurance Company 23841 <br /> INSURED INSURER B: <br /> SLA Landscape Architecture <br /> INSURER C: <br /> 18825 SE 164th St <br /> Renton, WA 98058 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 TYPE OF INSURANCE ADD'L SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSRD WVD (MM/DDnvvY) (MM/DD/YYYY) <br /> GENERAL LIABILITY EACH OCCURANCE <br /> COMMERCIAL GENERAL LIABILITY PRS( RENTED <br /> PREMISES(Ea occurance) <br /> CLAIMS MADE OCCUR MED EXP(Any one person) <br /> DOES NOT APPLY <br /> PERSONAL&AND INJURY <br /> GENERAL AGGREGATE <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG <br /> 7 POLICY PROJECT n LOC <br /> AUTOMOBILE LIABILITY UUMtOINtU SINI LL LIMI I(ta <br /> accident) <br /> _ANY AUTO BODILY INJURY(Per person) <br /> ALL OWNED SCHEDULED <br /> _AUTOS —AUTOS DOES NOT APPLY BODILY INJURY(Per accident) <br /> NON-OWNED PROPERTY DAMAGE(Per <br /> HIRED AUTOS AT ITnc accident) <br /> UMBRELLA LIAB _OCCUR EACH OCCURANCE <br /> EXCESS LIAB CLAIMS MADE DOES NOT APPLY AGGREGATE <br /> DED RETENTION$ <br /> WORKERS COMPENSATION WC STATU- OTHER <br /> AND EMPLOYERS'LIABILITY TORY LIMITS <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> E.L.EACH ACCIDENT <br /> OFFICE/MEMBER EXCLUDED? <br /> (Mandatory in NH) Y/N N/A DOES NOT APPLY E.L.UISESAE-EA <br /> If yes,describe under DESCRIPTION OF ❑ EMPLOYEE <br /> OPERATIONS below E.L.DISEASE-POLICY LIMIT <br /> A Professional Liability 064992436 03/14/17 03/14/18 Per occurrence: $1,000,000 <br /> 00 Annual Aggregate: $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACCORD 101,Additional Remarks Schedule,if more space is required) <br /> Phil Johnson Ball Field Renovations <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br /> City of Everett THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 802 E Mukilteo Blvd <br /> AUTHORIZED REPRESENTATIVE <br /> Everett, WA 98203 <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION.Allrights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />