Krazan & Associates Inc 12/26/2018

DATE(MM/DD/YYYY) Ac R® CERTIFICATE OF LIABILITY INSURANCE DATE 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 have ADDITIONAL INSURED provisions or 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). CONTACT PRODUCER NAME: Shelaine Gonsalves (WC) Heffernan Insurance Brokers PHONE 925-934-8500 I(AC,No):925-934-8278 INC.No.Ext):1350 Carlback Avenue ADDRIess: ShelaineG@heffins.com Walnut Creek CA 94596 NAIC# INSURER(S)AFFORDING COVERAGE , INSURER A:The Travelers Indemnity Company of Connecticut 25682 INSURED KRAZ&AS-01 INSURER B:Travelers Property Casualty Company of America 25674 Krazan&Associates, Inc. INSURER C: 215 West Dakota Avenue INSURER C: Clovis CA 93612 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1620817217 REVISION NUMBER: THIS IS TO THAT THE ANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE R THE PERIOD CY ND CATED.CNOTWITHSTANDING ANY IREQUIREMENT, TERM OR CONDITION EO ION OF ANY CONTRACT OR OTHER DOCUMENT WI HRESPECT TOLIWHICH 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. INSRADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE w INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B X COMMERCIAL GENERAL LIABILITY Y 6600F55445ATIL18 10/1/2018 10/1/2019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) Deductible$0 MED EXP(Any one person) $5,000 X Deductible X Gap _PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY I I jE 8-, LOC $ OTHER: COMBINED SINGLE LIMIT $1,000,000 A AUTOMOBILE LIABILITY 8100F55445AT1L18 10/1/2018 10/1/2019 (Ea accident) BODILY INJURY(Per person) $ X ANY AUTO OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ X HIRED X NON-OWNED (Per accident) _ AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ — EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ I STATUTE I I�RH $ B WORKERS COMPENSATION UB9H94936518 1/1/2018 1/1/2019 X AND EMPLOYERS'LIABILITY Y/N E.L.EACH ACCIDENT $1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE Y N I A OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below 10/1/2018 10/1/2019 LIMIT $1,000,000 B Employers Liability Washington St 6600F55445ATIL18 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CEO(Dean Alexander)is excluded. 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) on General Liability policy per the attached endorsement,if required. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Everett 3101 Cedar Street AUTHORIZED REPRESENTATIVE Everett,WA 98201 Ofr...„....- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD