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Client#: 12725 HERRENVI
<br /> YYYY)
<br /> ACORD,, CERTIFICATE OF LIABILITY INSURANCE 6/11 DATE(M/2019 M/DD/M/DD/
<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 any rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT Elizabeth Olson
<br /> NAME:
<br /> Propel Insurance PHONE 800 499-0933 FAX
<br /> (AIC,No,Ext): (A/C,No): 866 577-1326
<br /> Tacoma Commercial Insurance E-MAIL SS: Elizabeth.olson@propelinsurance.com
<br /> elinsurance.com
<br /> ADDREP
<br /> 1201 Pacific Ave, Suite 1000
<br /> INSURER(S)AFFORDING COVERAGE NAIL#
<br /> Tacoma,WA 98402 INSURER A:Ironshore Specialty Insurance 25445
<br /> INSURED INSURER B:Ohio Security Insurance Company 24082
<br /> Herrera Environmental SaifCor oration 36196
<br /> INSURER C: P
<br /> Consultants Inc
<br /> 2200 6th Avenue#1100 INSURER D:
<br /> INSURER E:
<br /> Seattle, WA 98121
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 /> SUBR
<br /> LTR TYPE OF INSURANCE NSRADDL WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> (MM/DD/YYYI) (MM/DD/YYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY 000826909 11/24/2018 11/24/2019 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea RENTED
<br /> $500,000
<br /> MED EXP(Any one person) $25,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> X PRO PRODUCTS-COMP/OP AGG $2,000,000
<br /> POLICY JECT LOC _
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY BAS1956989902 11/24/2018 11/24/2019 CEaOMBaccident)INED SINGLE LIMIT 1,000,000
<br /> ( > ,
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS PROPERTY DAMAGE
<br /> HIED ANON-UTOOWNED (Per accident)
<br /> X AUTOS ONLY X S ONLY
<br /> A UMBRELLA LIAB _ OCCUR 000827009 11/24/2018 11/24/2019 EACH OCCURRENCE $4,000,000
<br /> X EXCESS LIAB X CLAIMS-MADE Incl. Prof& AGGREGATE $4,000,000
<br /> DED RETENTION$ Pollution $
<br /> A WORKERS COMPENSATION 000826909 WA STG 11/24/2018 11/24/2019 ;MUTE EMPLOYERS'LIABILITY STATUTE ER
<br /> Y/N
<br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE X 857188 OR 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 Liab 000826909 11/24/2018 11/24/2019 $1,000,000 Each Claim
<br /> Pollution $2,000,000 Aggregate
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> RE: Project Name: City of Everett Landfill Gas System Operations and Maintenance Support
<br /> Herrera Project No. 19-07136-000
<br /> City of Everett, its officers,employees and agents are Additional Insured per attached endorsements.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 3200 Cedar St. ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Everett, WA 98201
<br /> AUTHORIZED REPRESENTATIVE
<br /> /14, CO/Plcid
<br /> ©1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br /> #S3679606/M3449854 FAROO
<br />
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