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.---•—• ® DATE(MM/DD/YYYY) <br /> �` o CERTIFICATE OF LIABILITY INSURANCE 04/27/2018 <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.If <br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this ;� <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). L <br /> PRODUCER CONTACT d <br /> 6 <br /> NAME: <br /> Aon Risk Services Southwest, Inc. PHONE (866) 283-7122 FAX (800) 363-0105 d <br /> Houston TX Office (A/C.No.Ext): (NC.No.): <br /> 5555 San Felipe E-MAIL I, <br /> Suite 1500 ADDRESS: i <br /> Houston TX 77056 USA <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: ACE American Insurance company 22667 <br /> Wood Group USA, Inc. INSURER B: Agri General Insurance Company 42757 <br /> 17a Amec Foster Wheeler <br /> 17325 Park Row INSURER C: ACE Fire Underwriters Insurance Co. 20702 <br /> Houston TX 77084 USA INSURER D: American Zurich Ins Co 40142 <br /> INSURER E: AIG Specialty Insurance Company 26883 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 570070956275 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. Limits shown are as requested <br /> INSR ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER I(MM/DD/YYYY 4fMM/DD/YYYY)) LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY HDOG27874265 05/01/2018 01/31/2019 EACH OCCURRENCE $2,000,000 <br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED $2,000,000 <br /> I PREMISES(Ea occurrence) <br /> MED EXP(Any one person) $5,000 <br /> PERSONAL&ADV INJURY $2,000,000 r <br /> GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4,000,000 o <br /> POLICY X PED LOC PRODUCTS-COMP/OPAGG $4,000,000 O <br /> OTHER: p <br /> t` <br /> AISA H25150132 05/01/2018 01/31/2019 COMBINED SINGLE LIMIT up <br /> AUTOMOBILE LIABILITY $2,000,000 <br /> (Ea accident) <br /> X ANY AUTO BODILY INJURY(Per person) 0 <br /> z <br /> OWNED —SCHEDULED BODILY INJURY(Per accident) is <br />' AUTOS ONLY AUTOS <br /> HIRED AUTOS bo NON-OWNED PROPERTY DAMAGE V <br /> ONLY _AUTOS ONLY (Per accident) ti= <br /> t= <br /> a) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE U <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> DED RETENTION <br /> A WORKERS COMPENSATION AND WLRC64625196 05/01/2018 01/31/2019 X STATUTEEPER 0OTTH <br /> RC <br /> Y/N work Comp- AOS <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E .EACH ACCIDENT $1,000,000 <br /> B OFFICER/MEMBEREXCLUDED? I N I .L <br /> N/A wLRC64625202 05/01/2018 01/31/2019 <br /> (Mandatory in NH) Work Comp- TN 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 /> D Archit&Eng Prof E0C100837502 05/01/2017 07/01/2018 Any One Claim $5,000,000 <br /> Aggregate Limit $5,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Re: Misc. Natural Resources, Enviro, and Geotech, City of Everett Job NO. 15705. The City of Everett Public Works, its <br /> officers, employees and agents are additional insured on the General Liability and Automobile Liability policies as required by v-.0 <br /> written contract. Coverage is primary and non-contributory where required by written contract. SEE ATTACHED ADDENDUM FOR fej <br /> ADDITIONAL NAMED INSURED AMEC COMPANIES. Y <br /> ▪r <br /> CERTIFICATE HOLDER CANCELLATION <br /> y-: <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE d <br /> POLICY PROVISIONS. . <br /> Cityilid <br /> of Everett Public Works <br /> AUTHORIZED REPRESENTATIVE rF� <br /> 3200 Cedar Street <br /> Everett WA 98201 <br /> SHOKt,2 Y�,X <br /> N• E <br /> @1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />