|
TE
<br /> ACCPREP® CERTIFICATE OF LIABILITY INSURANCE DA 08/06/2018 '
<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 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 /> Parker,Smith&Feek, Inc. PHONE 425-709-3600 FAX 425-709-7460
<br /> E-MAIL N
<br /> 2233 112th Avenue NE o,Ex). (A c,No):
<br /> E-MAIL
<br /> Bellevue,WA 98004 ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A: Hartford Fire Insurance Co.
<br /> INSURED INSURER B: Hartford Casualty Ins.Co.
<br /> Alta Planning+Design,Inc
<br /> 711 SE Grand Ave INSURER c: Continental Casualty Company
<br /> Portland,OR 97214 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 /> ISPOLICY EFF POLICY EXP
<br /> LTR TYPE OF INSURANCE NW
<br /> SR VD POLICY NUMBER /Y
<br /> (MMIDDYYY! (MM/DDIYYYY) LIMITS
<br /> A GENERAL LIABILITY 52UUNHB2172 9/1/2017 9/1/2018 EACH OCCURRENCE $ 1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300,000
<br /> X PREMISES(Ea occurrence) $
<br /> CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000
<br /> X $0 Deductible PERSONAL&ADV INJURY $ 1,000,000
<br /> GENERAL AGGREGATE $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> POLICY X PROT LOC $
<br /> JEC
<br /> A AUTOMOBILE LIABILITY 52UUNHB2172 9/1/2017 9/1/2018 Ea acoideDn SINGLE LIMIT 1,000,000
<br /> X ANY AUTO X BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS AUTOS
<br /> XX NON-OWNED PROPERTY DAMAGE $
<br /> HIRED AUTOS AUTOS (Per accident)
<br /> X $1,000 Comr $
<br /> UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ $
<br /> B WORKERS COMPENSATION 52WEAA6IPB X WC STTU-TORY LIMITS X 0T
<br /> AND EMPLOYERSY/N 9/1/2017 9/1/2018ER
<br /> Stop
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Gap Liability WA OH E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under , 00,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C Professional Liability MCH114135257 9/1/2017 9/1/2018 $4,000,000 per claim
<br /> $4,000,000 per aggregate
<br /> $75,000 per claim deductible
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> Job#00-ON18-014,Everett,WA Bicycle Master Plan On-Call.The City of Everett is an additional insured and coverage is primary and non-contributory on the
<br /> general liability and automobile policies per the attached endorsements/forms
<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 /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Everett
<br /> 3200 Cedar Rd AUTHORIZED REPRESENTATIVE
<br /> Everett,WA 98201 A121D3.
<br /> ©1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
<br /> 1 of 7 (SC000)
<br />
|