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DATE(MM/DD/YYYY) <br /> ACRO® CERTIFICATE OF LIABILITY INSURANCE <br /> 10/4/2018 <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 /> NAME; Shelaine Gonsalves <br /> (WC) Heffernan Insurance Brokers PHONE FAX <br /> 1350 Carlback Avenue (A/C.No.Est);925-934-8500 (A/C.No):925-934-8278 <br /> Walnut Creek CA 94596 no Rees : ShelaineG@heffins.com <br /> INSURER(S)AFFORDING COVERAGE NAIC/ <br /> INSURER A:The Travelers Indemnity Company of Connecticut 25682 <br /> INSURED KRAZ&AS-01 INSURER B:Travelers Property Casualty Company of America 25674 <br /> Krazan&Associates, Inc. <br /> 215 West Dakota Avenue INSURER C: <br /> Clovis CA 93612 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1620817217 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP WLIMITS <br /> LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) <br /> B X COMMERCIAL GENERAL LIABILITY Y 6600F55445ATIL18 10/1/2018 10/1/2019 EACH OCCURRENCE $1,000,000DAMAGE TO <br /> CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) $100,000 <br /> X Stop Gap MED EXP(Any one person) $5,000 _ <br /> X Deductible$0 PERSONAL&ADV INJURY $1,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> X POLICY JET LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY 8100F55445ATIL18 10/1/2018 10/1/2019 COMBINED SINGLE LIMIT $1000000 <br /> (Ea accident) <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> x HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY _ AUTOS ONLY (Per accident) <br /> UMBRELLALIAB _ OCCUR EACH OCCURRENCE $ _ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> g WORKERS COMPENSATION UB9H94936518 1/1/2018 1/1/2019 X <br /> OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> B Employers Liability Washington St 6600F55445ATIL18 10/1/2018 10/1/2019 LIMIT $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CEO(Dean Alexander)is excluded. <br /> Re:As Per Contract or Agreement on File with Insured.City of Everett,its officers,employees and agents are included as an additional insured(and primary) <br /> on General Liability policy per the attached endorsement,if required. <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 /> 3101 Cedar Street <br /> Everett,WA 98201 AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />