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A`oRo® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY)
<br /> 12/19/2017
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT Kim Crandall
<br /> NAME:
<br /> Marsh & McLennan Agency, LLC PHOIC,NE (907)276-5617 FA ExtlVC No: (907)276-6292
<br /> 1031 West 4th Ave., Suite 400 E-MAIL kim.crandall@marshmc.com
<br /> ADDRESS:
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> Anchorage AK 99501 INSURERA:Evanston Insurance Co. 35376
<br /> INSURED INSURERB:ZUrich American Ins. Co. 16535
<br /> Ahtna Environmental, Inc INSURER C:American Zurich Insurance Co. 40142
<br /> 110 W. 38th Avenue INSURER D:Navi ators Specialty Insurance Co. 36056
<br /> INSURER E: _
<br /> Anchora a AK 99503
<br /> g INSURER F
<br /> COVERAGES CERTIFICATE NUMBER:17-18 AEI 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 /> INTR TYPE OF INSURANCE L SUBR EXP
<br /> POLICY NUMBER MM DIDYlYYYY MMIDDEFF Y/YYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> A DAMAGE TO RENTEI5___- CLAIMS-MADE a OCCUR PREMISES Ea occurrence $ 300,000
<br /> X S.I.R. $100,000 X 17EGLWE00008 9/1/2017 9/1/2018 MED EXP(Any one person) $ 10,000
<br /> PERSONAL 8 ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICYa jEO FILOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000
<br /> Ea acddent
<br /> B X ANY AUTO BODILY INJURY(Per person) $
<br /> ALL OS SCHEDULED BAP428127710 9/1/2017 9/1/2018 BODILY INJURY Per accident) $
<br /> AUTOS AUTOS X ( )
<br /> NON-OWNED PROPERTY DAMAGE $
<br /> HIRED AUTOS AUTOS Per accident
<br /> D)
<br /> UMBRELLA LIAB X CCCUR SP17FX5734687IC 9/1/2017 9/1/2018 EACH OCCURRENCE $ 10,000,000
<br /> A X EXCESS LIAB CLAIMS-MADE MKLV5EOE100180 9/1/2017 9/1/2018 AGGREGATE $ 10,000,000
<br /> DED RETENTION$ X $
<br /> WORKERS COMPENSATION X PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN
<br /> STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVEE.L EACH ACCIDENT $ 1,000,000
<br /> C OFFICER/MEMBER EXCLUDED?ry N N!A
<br /> (MandatoIn NH) WC428127410 9/1/2017 9/1/2018 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> II yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,00 0 000
<br /> A Contractor's Pollution Liab 17CPLCKE00085 9/1/2017 9/1/2018 Ea.Condition Limit $2,000,000
<br /> Professional Liability General Aggregate $2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
<br /> Project Name: Manteca Streetscape Improvements Encroachment Permit.
<br /> Where required by written contract, City of Manteca, its elected officials, employees, agents, and
<br /> volunteers is an additional insured on the general liability and auto liability policies, subject to the
<br /> policy terms, conditions and limitations. It is further agreed that, where required by written contract,
<br /> such insurance as is afforded the Certificate Holder shall be primary and non-contributory with any other
<br /> insurance in force for or which may be purchased by the Certificate Holder.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Manteca THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> 1001 W. Center Street ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Manteca, CA 95337
<br /> AUTHORIZED REPRESENTATIVE
<br /> Sandra Vasquez/KTRUJI
<br /> ©1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
<br /> INS025(201401)
<br />
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