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A`�� DATE(MM/DD/YYYY)
<br /> � CERTIFICATE OF LIABILITY INSURANCE 09/27/2018
<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 rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> Marsh USA,Inc NAME:
<br /> PHONE FAX
<br /> 1301 5th Avenue (A/C.No.Ext): (A/C,No):
<br /> Seattle,WA 98101 E-MAIL
<br /> Attn:Fortive.certrequest@marsh.com ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> CN117677530-STNDU-GAWU-18- INSURER A:ACE American Insurance Company 22667
<br /> INSURED INSURER B:National Union Fire Ins.Co.of Pittsburgh,PA 19445
<br /> The Gordian Group,Inc.
<br /> do TGG Group LLC INSURER c:Indemnity Ins Co Of North America 43575
<br /> 30 Patewood Drive,Ste.350INSURER D:Agri General Insurance Company 42757
<br /> Greenville,SC 29615 20702
<br /> INSURER E:ACE Fire Underwriters Insurance Company
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: SEA-003578014-01 REVISION NUMBER: 0
<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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP/YLIMITS
<br /> LTR INSD WVD POLICY NUMBER (MM/DDYYY) IMM/DD/YYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY HDOG27629210 07/01/2018 07/01/2019 EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE CLAIMS-MADE X OCCUR PREM SESO(Ea occurrence) $ 2,000,000
<br /> X Contractual Liability MED EXP(Any one person) $ 10,000
<br /> X Broad Form PD PERSONAL&ADV INJURY $ 2,000,000
<br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000
<br /> PRO-
<br /> X POLICY JECTPRO- LOC PRODUCTS-COMP/OP AGG $ 5,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY ISAH08868025 07/01/2018 07/01/2019 COMBINED SINGLE LIMIT $ 3,000,000
<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 /> $
<br /> B X UMBRELLA LIAB X OCCUR 28294929 07/01/2018 07/01/2019 EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000
<br /> DED RETENTION$ $
<br /> C WORKERS COMPENSATION WLRC48133307(AOS) 07/01/2018 07/01/2019 X PER
<br /> S0TH-
<br /> AND EMPLOYERS'LIABILITY TATUTE ER
<br /> A Y/N WLRC48133290(CA,AZ,MA) 07/01/2018 07/01/2019 2,000,000
<br /> OFFICER/MEMBER
<br /> N N/A E.L.EACH ACCIDENT $
<br /> E (Mandatory in NH) SCFC48133344(WI) 07/01/2018 07/01/2019 E.L.DISEASE-EA EMPLOYEE $ 2,000,000
<br /> D If yes,describe under WLRC48133319(TN) 07/01/2018 07/01/2019 E.L.DISEASE-POLICY LIMIT $ 2,000,000
<br /> DESCRIPTION OF OPERATIONS below
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Everett,its officers,agents and employees are named as additional insureds with respects to General liability where required by written contract.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> The City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Attn:Clark Langstraat THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 3200 Cedar Street ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Everett,WA 98201
<br /> AUTHORIZED REPRESENTATIVE
<br /> of Marsh USA Inc.
<br /> Jean Aguirre Qifi .dalpod
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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