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��...441 MATETES-01 BRITTANYKOCIS
<br /> DATE(MM/DD/YYYY)
<br /> 4 RL CERTIFICATE OF LIABILITY INSURANCE 7/31/2019
<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 /> CONTACT
<br /> PRODUCER NAME:
<br /> NFP Property&Casualty Services,Inc. PHONE
<br /> No,Ext):(480)947-35561 FAX
<br /> No):(480)947-6699
<br /> 8201 North Hayden Road E-MAIL
<br /> Scottsdale,AZ 85258 ADDRESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:National Fire Insurance Company of Hartford 20478
<br /> INSURED INSURER B:Valley Forge Insurance Company 20508
<br /> Materials Testing and Consulting Inc. INSURER C:Continental Insurance Company 35289
<br /> 777 Chrysler Drive INSURER D:Continental Casualty Company 20443
<br /> Burlington,WA 98233
<br /> INSURER E:
<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. NOTIMTHSTANDING 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD IMM/DD/YYYY1 IMM/DD/YYYYI
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR 6046287574 7/1/2019 7/1/2020 DAMAGE TO RENTED 500,000
<br /> X X PREMISES(Ea occurrence) $
<br /> MED EXP(Any one person) $ 15,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY X LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER. STOP GAP LIABIL $ 1,000,000
<br /> B AUTOMOBILE LIABILITY
<br /> (Ee aBB NEDtSINGLE LIMIT $ 1,000,000
<br /> X ANY AUTO X X 6046287588 7/1/2019 7/1/2020 BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY� INJURY(Per accident) $
<br /> AUTOS ONLY UUOS NON-OWNEDNLY (Per acEciRdent�AMAGE $
<br /> $
<br /> C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS UAB CLAIMS-MADE 6046287591 7/1/2019 7/1/2020 AGGREGATE $ 5,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> A WORKERS COMPENSATION X STATUTE EOTH
<br /> AND EMPLOYERS'LIABILITY Y/N 6046287574 7/1/2019 7/1/2020 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? 1 00Q000
<br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D E&O/Professional Lia MCH591911371 7/1/2019 7/1/2020 Limit 3,000,000
<br /> D Crime 596805415 7/1/2019 7/1/2020 Limit 250,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> Subject to Policy Terms,Conditions and Exclusions.
<br /> City of Everett,its officers,employees and agents are Additional Insured with respects to General Liability per endorsement CNA74858XX(01 15)attached.
<br /> General Liability coverage is primary&non-contributory per endorsement CNA74858XX(01 15)attached.Waiver of Subrogation applies to General Liability
<br /> per attached CNA74858XX(01 15)attached.
<br /> City of Everett,its officers,employees and agents are Additional Insured with respects to Auto Liability per endorsement CNA74858XX(01 15)attached.Auto
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Cityof Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Dean Shaughnessy
<br /> 802 E Mukilteo Blvd
<br /> Everett,WA 98203 AUTHORIZED REPRESENTATIVE
<br /> a' leP-iWD
<br /> ACORD 25(2016/03) UUU ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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