Dykeman Architects 9/12/2018 Amendment 1

1/4_....... """'N DYKEM-1 OP ID: LV A �`� CERTIFICATE OF LIABILITY INSURANCE DATE{MM/DDlYYYY) 02128/2018 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 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 The Rabourn Company,Inc. PHONE Kevin 8 -8600 FAX 11400 S.E.8th Street,STE 220 Iwc.No.EttI:425-688-8600 tarc�{oI:425-688-9251 Bellevue,WA 98004 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC P _ INSURER A:National Fire Insurance INSURED Dykeman, Inc. INSURER B: 1716 W. Marine View Drive INSURER C Everett,WA 98201-2098 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. (LTR TYPE OF INSURANCE !NM WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDDIYYYY) IMMIDO(YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I X! OCCUR 2083209360 03/01/2018 03101/2019 DAMAGE TO RENTED 300,000 PREMISES{Ea occurrence) $ MED EXP{Any one person) $ 10,000 eTHE RAOOURN COMPANY MA'{ES NO PERSONAL BADV INJURY 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: rpEPRESENTATIONTHATTHESECOVERAGES GENERAL AGGREGATE $ 2,000,000 POLICY PRO- LOC COMPLY WITH(DR FULLY SATISFY ANY JECT PRODUCTS-COMP/OP AGG $ 2,000,000 INSURANCE OR INDEMNITY REQUIREMENTS - -- OTHER: IN ANY C:r fu'rpAO.T,WRITTEN ORAL on PLIED $ AUTOMOBILE LIABILITY EOMDBIINdEEEDISINGLE LIMIT $ 1,000_,000 A ANY AUTO 2083209360 03/01/2018 03/01/2019 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS _ X HIRED AUTOS X NWNED PROPERTY DAMAGE $ AUTON OS (Per accident) $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS L1AB CLAIMS-MADE AGGREGATE $ DED RETENTION$ i $ WORKERS COMPENSATION PERTUTE X ERTH 0 - AND EMPLOYERS'LIABILITY (-_STA YIN A ANY PROPRIETORIPARTNERIEXECUTNE 2083209360 03/01/2018 03/01/2019 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N IA --- (Mandatory In NH) WA STOP GAP E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under -- DESCRIPTION OF OPERATIONS below E.L-DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES {ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Dykeman PSA. The City of Everett and its officers,employees and agents are Primary Additional Insured as respects operations of the Named Insured under the General Liability but only to the extent provided by SBA 46932-F (06116). Form applies to the General Liability. CERTIFICATE HOLDER CANCELLATION CITYO48 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2930 Wetmore Avenue,Ste. 10-A Everett,WA 98201 AUTHORIZE fi RESENTATNE I ©1988- ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD