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Client#:Aft RACINORT19 ACORD. CERTIFICATE OF LIABILITY INSURANCE D08114TE /2D/ana/zo12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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(les)must 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 CONTACT NAME: Marci Berger Propel Insurance PIH/ONo Eat);800 499-0933AID AICNo866.577.1326 Tacoma Commercial Insurance ADDRESS: mrb@propelinsurace.com 1201 Pacific Ave,Suite 1000 INSURER(8 AFFORDING COVERAGE RAID Tacoma,WA 98402 INSURER A:Ironshore Specialty Insurance INSURED INSURER B:Zurich-American InsuranceCOmpa 16535 Pacific Northern Environmental Corp INSURER C:Unigard Indemnity Company dba:Cowlitz Clean Sweep;CCS/PNE Corp. INSURER D 1081 Columbia Blvd INSURER E Longview,WA 98632 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LTR TYPE OF INSURANCE I�RL Syy RR POLICY NUMBER MMNUY E� MMIDDY� LIMITS A GENERAL LIABILITY 000540803 7/01/2012 0710112013 EACH H�OCCURRENCE E1 000000 X COMMERCIALPR GENERALLIABILITY RENTllE.D. ESOOOOO CLAIMS-MADE OOCCUR MEDEXP(Anyonsperson) E25000 X WA Stop Gap PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY X PEb LOC $ C AUTOMOBILELIABILITY BA621352 7/01/2012 07101/2013 COMBINED SINGLE LIMIT 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Par accident) $ AUTOS NON-0 NED PROPERTY DAMAGE $ AUTOS X HIRED AUTOS X AUTOS Per accident S A UMBRELLA DAB X OCCUR 000541003 7/01/2012 07/0112013 EACH OCCURRENCE s15,000,000 X EXCESS LEAS CI AIMS-MADE AGGREGATE $15,000,000 DED I I RETENTIONS $ B WORKERS COMPENSATION WC933685401 7/01/2012 07/01/201 X We sTATuT OTH- AND EMPLOYERS'LIABILITY OMy FFICERMIYIN EMBER[PARTNEIVEECUTIVE� NIA Incl.USL&H E.L.EACH ACCIDENT $1000000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 K yea,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E1,000,OOO A Pollution 000540803 7/01/2012 07/01/201 $1,000,000/$10,000 Ded. A Professional 000540803 7/01/2012 0710112013 $1,000,000/$25,000 Ded. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Proof Of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S968625/M942678 M RBOO