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Client#: 25326 KPFFINCO
<br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)4/10/2018
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on
<br /> this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT Katie Kresner
<br /> NAME:
<br /> Greyling Ins. Brokerage/EPIC
<br /> (P14/2,1o,Ext):770.552.4225 FAX
<br /> (A/C,NO 866.550.4082
<br /> 3780 Mansell Road,Suite 370 E-MAIL Katie.Kresner@9 Y•re com
<br /> ADDRESS: lin 9•
<br /> Alpharetta,GA 30022
<br /> INSURER(S)AFFORDING COVERAGE NAIL#
<br /> INSURER A:National Union Fire Ins.Co. 1 9445
<br /> INSURED INSURER B:The Continental Insurance Company 35289
<br /> KPFF, Inc. Lloyds of London
<br /> INSURER C: y
<br /> 1601 5th Ave
<br /> INSURER D:
<br /> Suite 1600
<br /> INSURER E:
<br /> Seattle,WA 98101
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 18-19 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 /> ILTR TYPE OF INSURANCE NSRWVD POLICY NUMBER /Y
<br /> L SUBR POLICY EFF POLICY EXP LIMITS
<br /> (MMIDDYYY) (MM/DD/YYYY)
<br /> A XI COMMERCIAL GENERAL LIABILITY GL5268336 04/01/2018 04/01/2019 EACHMOCCURRENCEp� $1,000,000
<br /> CLAIMS-MADE X OCCUR PAEMISES(Ea occur°nca) $500,000
<br /> MED EXP(Any one person) $25
<br /> PERSONAL&ADVINJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> PRO-
<br /> POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY CA9775930 04/01/2018 04/01/2019 COMBIaccidNEDent)SI $
<br /> NGLE LIMIT 1,000,000
<br /> (Ea _
<br /> X' ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY (Per accident)
<br /> B x UMBRELLA LIAB X OCCUR 6050399824 10/10/2017 04/01/2019 EACH OCCURRENCE $10,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
<br /> DED X RETENTION$0 $
<br /> A WORKERS COMPENSATION WCO22298245(AOS) 04/01/2018 04/01/2019 X ;MUTE EMPLOYERS'LIABILITY ( ) STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVEY/N WCO22298244(CA) 04/01/201804/01/2019 E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBEREXCLUDED? 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 /> C Professional/ B0146LDUSA1704384 10/10/2017 10/10/2018 Per Claim$10,000,000
<br /> Pollution Liab. Aggregate$10,000,000
<br /> SIR$250,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re: Parking Lot Expansion at the South Precinct located 1121 SE Everett Mall Way
<br /> The City of Everett,its officers,employees and agents are named as Additional Insureds on the above
<br /> referenced liability policies with the exception of workers compensation&professional liability where
<br /> required by written contract.
<br /> The above referenced liability policies with the exception of workers compensation and professional
<br /> (See Attached Descriptions)
<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 /> Chris Lark ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 3101 Cedar Street _
<br /> Everett,WA 98201 AUTHORIZED REPRESENTATIVE
<br /> ©1988-2015 ACORD CORPORATION.-All rights reserved.
<br /> ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br /> #S1048506/M1022304 KKRE 1
<br />
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