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<br /> Acro o CERTIFICATE OF LIABILITY INSURANCE
<br /> 1/1/2020 6/27/2019
<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 /> CONT
<br /> PRODUCER LOCICtOn Companies NAMEACT
<br /> 444 W.47th Street,Suite 900 PHONE FAX
<br /> WC.No.Ext): (A/C,No):
<br /> Kansas City MO 64112-1906 E-MAIL
<br /> (816)960-9000 ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Lexington Insurance Company 19437
<br /> INSURED TERRACON CONSULTANTS,INC. INSURER B:Travelers Property Casualty Co of America 25674
<br /> 1312893 21905-64TH AVENUE WEST INSURER C:The Travelers Indemnity Company 25658
<br /> MOUNTLAKE TERRACE WA 98043 INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES TERCO01 CERTIFICATE NUMBER: 16170349 REVISION NUMBER: XXXXXXX
<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 /> IPOLICY EFF POLICY EXPNSR NSD
<br /> LTR NSD R TYPE OF INSURANCE WVD ADDL SUER POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS
<br /> B X COMMERCIAL GENERAL LIABILITY y N TC2J-GLSA-1118L293 1/1/2019 1/1/2020 EACH OCCURRENCE $ 1,000,000
<br /> DGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREM SES(Ea occurrence) $ 1,000,000
<br /> X CONTRACTUAL LIAB MED EXP(Any one person) $ 25,000
<br /> X XCU COVERAGE PERSONAL&ADV INJURY $ 1,000,000
<br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X PRO-
<br /> POLICY LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY Y N TC2J-CAP-131J3858 1/1/2019 1/1/2020 COMBINEDaccident)SING LE LIMIT $
<br /> (Ea 2,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX
<br /> AUTOS ONLY AUTOS —
<br /> HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX
<br /> AUTOS ONLY _ AUTOS ONLY (Per accident)
<br /> $ XXXXXXX
<br /> UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX
<br /> DED RETENTION$ $ XXXXXXX
<br /> WORKERS COMPENSATION N X STATUTE ETPER H
<br /> B AND EMPLOYERS'LIABILITY UB-2L010337-19-5)-K AOS) 1/1/2019 1/1/2020
<br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N UB 1L5546071951R(AZ,MA,WI) 1/1/2019 1/1/2020
<br /> E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N N/A
<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 /> A PROFESSIONAL N N 26030216 1/1/2019 1/1/2020 $1,000,000 EACH CLAIM&
<br /> LIABILITY $1,000,000 ANNUAL AGGREGATE
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE:PROJECT# 81197291; PROJECT NAME:2600 FEDERAL AVENUE RBM SURVEY.CITY OF EVERETT WA,ITS OFFICERS,EMPLOYEES AND
<br /> AGENTS ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY,AND THESE COVERAGES ARE PRIMARY,
<br /> IF REQUIRED BY WRITTEN CONTRACT.
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> 16170349
<br /> CITY OF EVERETT WA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 3200 CEDAR ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> EVERETT WA 98201-4516 ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> AUTHORIZED REPRESENTATIV 7 j
<br /> '" ---D-tiv7 /11 47,71,4
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