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Alternative Technologies 3/15/2018
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Alternative Technologies 3/15/2018
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Entry Properties
Last modified
3/27/2018 10:10:33 AM
Creation date
3/27/2018 10:10:24 AM
Metadata
Fields
Template:
Contracts
Contractor's Name
Alternative Technologies
Approval Date
3/15/2018
End Date
6/30/2018
Department
Facilities
Department Project Manager
Chris Lark
Subject / Project Title
Hazardous Materials Survey South Precinct
Tracking Number
0001116
Total Compensation
$3,150.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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Ac D® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> L—'� 02/26/2018 <br /> THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOTAFFIRMATIVELY 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(les)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 <br /> NAME: <br /> The Sexton Agency (A/C,No,Ext):ONE FAX No): <br /> 5920 Evergreen Way Ste G E-MAIL <br /> ADDDD RESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Everett WA 98203 INSURER A: Rockhill Insurance Co. 28053 <br /> INSURED <br /> INSURER B: <br /> Kenneth Brian Hunt INSURER C: <br /> 5129 Evergreen Way INSURER : <br /> D9 INSURER E: <br /> Everett WA 98203 INSURERF: <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 INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR AuuL,UBI( <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP <br /> (MM/DDIYYYY) (MM/DDfYYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE ri occur PREMISES(Ea occurrence) $ 50,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A Y Y ENVP004727-05 08/09/2017 08/09/2018 PERSONAL&ADV INJURY $ 1,000,000 _ <br /> GEN'L AGGREGATE LIMIT APPL IES PER' GENERAL AGGREGATE $ 2,000,000 <br /> 7POLICY n Pi: LOC - <br /> PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea acddent) _ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> _ AUTOS _ AUTOS <br /> NON-OWNED PROPERTY DAMAGE — <br /> HIREDAUTOS <br /> _ AUTOS (Per accident) $ <br /> UMBRELLA LIAB OCCUR <br /> __ EACH OCCURRENCE $ _ <br /> EXCESS LIAB CLAIMS-MADE <br /> AGGREGATE $ <br /> — DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> OFFICER/MEMBER EXCLUDED?ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ <br /> (Mandatory In NH) <br /> E.L,DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below -- <br /> E.L.DISEASE-POLICY LIMIT $ <br /> Contractors Pollution Liability $1M/$2M Each Condition/Agg. <br /> A Professional Liability Y N ENVP004727-05 08/09/2017 08/09/2018 $1M/$2M Each Condition/Agg. <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> Certificate Holder is named as Additional Insureds per form CG2010 07/04(GL),CG2037 07/04(GL), RHIC6227 05/11 (CPL)RHIC6105 06/11 (PL). Primary <br /> and Non Contributory per form RHIC6048 02/12(GL).Waiver of Subrogation RHIC6058 01/10(GL). <br /> **10 days notice for non-payment of premium** <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN <br /> City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn:Chris Clark <br /> AUTHORIZED REPRESENTATIVE <br /> 3101 Cedar Street <br /> Everett WA 98201 <br /> 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 />
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