Perteet Inc 3/27/2018 - Laserfiche WebLink

Page 1 of 1 AC D CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDr YYY) 02/23/2018 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 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 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 NAME: Willis of Oregon, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378 c/o 26 Century Blvd IANC.No.Ext1: (A/C.No): E-MAIL certificates@willis.com P.O. Box 305191 ADDRESS: Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Travelers Indemnity Company of CT 25682 INSURED INSURER B: Phoenix Insurance Company 25623 Perteet, Inc. PO Box 1186 INSURERC: Travelers Property Casualty Company of Ame 25674 2707 Colby Avenue, Suite 900 INSURERD: Travelers Casualty and Surety Company of A 31194 Everett, WA 98201 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W5370772 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR .INSD VD POLICY NUMBER (MM/DD/YYYY1 (MMIDD/YYYY1 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 MAGE TO CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) $ 1,000,000 A MED EXP(Any one person) $ 5,000 6805J284500 06/27/2017 06/27/2018 PERSONAL&ADV INJURY_ $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JEC X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ e OWNED —SCHEDULED 5A5J284770 06/27/2017 06/27/2018 BODILY INJURY Peraccident $ AUTOS ONLY AUTOS ( ) HIRED — NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) - $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION SPER TATUTE x WA Stop Gap AND EMPLOYERS'LIABILITY C ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N/A UB6J664997 08/23/2017 06/27/2018 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Professional Liability 106321064 06/27/2017 06/27/2018 Per Claim 3,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project # 20180018, Everett Preparedness Initiative II. Per Project Aggregate applies when required by written contract. General Aggregate Capped at $8,000,000. City of Everett is included as an Additional Insured as respects to General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Everett Attn: Grant Moen AUTHORIZED REPRESENTATIVE 3200 Cedar St. �� Everett, WA 98201 z^7�/0..4 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 15677282 BATCH: 614111