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® DATE(MM/DD/YYYY) ACOR CP CERTIFICATE OF LIABILITY INSURANCE ‘....---` 11/20/2018 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 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). PRODUCER McGriff Insurance Services NAME:CONTACT Memphis Certificates 6000 Poplar Avenue, Suite 300 PHONE ext): (901)684-3333 FAX No): (901)530-1963 Memphis, TN 38119 (A/C.N ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Fireman's Fund Insurance Company 21873 INSURED INSURER B: Navigators Specialty Insurance Company 36056 Harmsen, LLC PO Box 516 INSURER C: Monroe WA 98272 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 45480472 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP/YLIMITS LTR INSD WVD POLICY NUMBER (MM/DDIYYYY) IMM/DDYYY) A / COMMERCIAL GENERAL LIABILITY / AZC80920311 10/19/2018 12/12/2018 EACH OCCURRENCE $1,000,000 DAMAGE CLAIMS-MADE / OCCUR PREM SESO(Ea occurrence) $100,000 MED EXP(Any one person) $10000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ✓ JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILELIABIUTY ✓ MZA8039244 10/19/2018 12/12/2018 (Ea MBINaccide tj INGLE LIMIT $1,000,000 _ / ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _AUTOS ONLY (Per accident) A i UMBRELLA LIAB / OCCUR AZC80920311 10/19/2018 12/12/2018 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION S $ A WORKERS COMPENSATION WZC81043895 10/19/2018 12/12/2018 �/ STATUTE OTH- ER AND EMPLOYERS'LIABILITY Y/N MD,TM FL,NV OFFICER/MEMBER ANYPROPR PEXC UDED?ECUTIVE N N/A Stop Gap WA ARTNER/EXE.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1.000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Professional Liability CE17MPL081739NC 10/19/2018 12/12/2018 Per Claim Limit-$2,000,000 Aggregate Limit-$2,000,000 Deductible Each Claim$25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Everett,its officers,employees and agents are included as Additional Insured with respect to General Liability and Auto Liability on a primary basis with 30 Days Notice of Cancellation; 10 Days Notice for Non-Payment of Premium. CERTIFICATE HOLDER CANCELLATION Cityof Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Shaun Bridge ACCORDANCE WITH THE POLICY PROVISIONS. 3200 Cedar St. Everett WA 98201 AUTHORIZED REPRESENTATIVE , ) g I Natalie Mc Gulley ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 45480472 I Harmsen Casualty 10.19.17-12.12.18 I Nerissa Bright 111/20/2018 8:11:28 AM (CST) I Page 1 of 1