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r""'"01 DYKEM-1 OP ID: LV <br /> '4R'�� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) <br /> 02/28/2018 <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 /> The Rabourn Company,Inc. PHONE Kevin G. Rabourn FAX <br /> 11400 S.E.8th Street,STE 220 (NC.No,Ext):425-688-8600 (A/c,No):425-688-9251 <br /> Bellevue,WA 98004 E-MAIL <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Continental Casualty Company <br /> INSURED Dykeman,Inc. INSURER B: <br /> 1716 W. Marine View Drive <br /> Everett,WA 98201-2098 INSURER C <br /> 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 /> INSR AnaSUBR POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE <br /> LTR INSO WVD POLICY NUMBER I(MMIDD/YYYY) (MMIDDIYYYY) LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE I I OCCUR . PREMISES(Ea occurrence; $ <br /> MED EXP(Any one person) $ _ <br /> PERSONAL&ADV INJURY $ <br /> GEL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY PRO- <br /> JECT LOC PRODUCTS-CCMPIOPAGO $ <br /> 1HE RABOURN COMPANY MARES NO <br /> OTHER: 0 FPs2FR FHTATION THAT THE IE COVERAGES $ <br /> AUTOMOBILE LIABILITY COMPLY WITH OR FULLY SAT SFY ANY COMBINED <br /> Dt SINGLE LIMIT $ <br /> - <br /> ANY AUTO INSURANCE OR INDEMNITY REQUIREMENTS BODILY INJURY(Per per son) S <br /> ALL OWNED ,SCHEDULED IN ANY CONTRACT.WRITTEN ORAL OR IMPLIED <br /> BODILY INJURY(Per accident) S <br /> AUTOS 'AUTOS <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS (Pereccicent) <br /> • <br /> S <br /> UMBRELLA LIAR OCCUR <br /> EACH OCCURRENCE S <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE S <br /> DED RETENTION$ S <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y r N • STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N I A' <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS beicw E.L.DISEASE-POLICY LIMIT $ <br /> A Professional AEH00436818 03/01/2018 03/01/2019 Per Claim 3,000,000 <br /> Liability Aggregate 5,000,000 <br /> I <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> Evidence of Insurance.CLAIMS MADE. Deductible$100,000. RE: Everett Public <br /> Library Expansion.Job#2016-027. <br /> CERTIFICATE HOLDER CANCELLATION <br /> CITY055 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Cityof Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Properties Office <br /> 3101 Cedar Street Aur ED P ESENTA7IVE <br /> Everett,WA 98201 <br /> 1 <br /> O 1988-21 4 •CORD CORPORATION. All rights reserved. <br /> ACORD 25(2014/01) The ACORD name and logo are registered marks •- 'CORD <br />