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ACCo�� CERTIFICATE OF LIABILITY INSURANCE D06/08/2018D rr)
<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 rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> MARSH USA INC. PHOPHONE'
<br /> 540 W.MADISON (A/C,No,Ext): (A/C,No):
<br /> CHICAGO,IL 60661 E-MAIL
<br /> Attn:chicago.CertRequest@marsh.com ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Travelers Property Casualty Company of America 25674
<br /> INSUREDINSUREREnterprise Comp,Inc. INSURER B:N/A N/A
<br /> Attn:Jay Villeda INSURER c:Illinois Union Insurance Company 27960
<br /> 2010 Main Street,Suite 600 INSURER D:The Travelers Indemnity Company 25658
<br /> Irvine,CA 92614
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: CHI-008914177-05 REVISION NUMBER: 7
<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 ADDL
<br /> SPOLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER lYLIMITS
<br /> (MMIDDIYYYY) (MM/DDYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY TJGLSA280K5095TIL18 04/30/2018 04/30/2019 EACH OCCURRENCE _ $ 1,000,000
<br /> DAMAGE TO CLAIMS-MADE X OCCUR PREMISES a occurrence) $ 1,000,000
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY JECT PRO X LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY TJCAP280K5102TIL18 04/30/2018 04/30/2019 COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<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 /> Comp./Coll.Ded. $ 500
<br /> UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ _ $
<br /> A WORKERS COMPENSATION TC2JUB280K507118(AOS) 04/30/2018 04/30/2019 X PER OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> D ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N TRKUB280K508318(AZ,MA,NE,WI) 04/30/2018 04/30/2019 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 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C Managed Healthcare Prof.Liab. MSP G27108647 005(SIR:$300,000) 10/31/2017 10/31/2018 Per Claim 5,000,000
<br /> Retro date:04-10-1987 Aggregate 5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Everett is included as Additional Insured under the General and Auto Liability policy as their interest may appear,but only to the extent such status is required under their written contract/agreement with the
<br /> Named Insured.Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions with respect to General Liability,Auto Liability,and Workers Compensation policies.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 2930 Wetmore Suite 5A THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Everett,WA 98201 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIVE
<br /> of Marsh USA Inc.
<br /> Manashi Mukherjee t L' rsI +�+ u
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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