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Marsh USA, Inc.
1166 Avenue of the AmericasNew York, NY 10036
CN101636071-ABBOT-GAWU-21-22 71057 X .
Susan Ricciardi
973-401-5274
Susan.C.Ricciardi@marsh.com
Arch Insurance Company
XL Insurance America, Inc.
Arch Indemnity Insurance Company
Indian Harbor Insurance Co.36940
30830
24554
11150
J.R. ABBOTT CONSTRUCTION INC.
GLOBAL INFRASTRUCTURE SOLUTIONS, INC.3408 1ST AVE SOUTH, SUITE 101
SEATTLE, WA 98134
NYC-011152798-02 2
X
X Contractual Liability
X
X
X X
'SEE ACORD 101 FOR LIMITS'
'SIR: $500,000 - ALL OTHER STATES'
'SIR: $750,000 - NEW YORK ONLY'
11PKG8914312 01/01/2021 01/01/2022
1,000,000
10,000
300,000
1,000,000
A
A
X
X X
X X
11CAB8914412 (MA)
11PKG8914312 (AOS)
01/01/2021
01/01/2021
01/01/2022
01/01/2022 1,000,000
5,000
B X X X X
US00064696LI21A 01/01/2021 01/01/2022
2,000,000
2,000,000
C
A
N 14WCI8925112 (CA,IL,MD,NY,PA,TX)
INCLUDES WA STOP GAP
11WCI8914212 (AOS)
01/01/2021
01/01/2021
01/01/2022
01/01/2022
1,000,000
1,000,000
1,000,000
D
LIABILITY
POLLUTION / PROFESSIONAL
DED: $1M each claim / $3M agg
CEO742018006 01/01/2021 01/01/2022
AGGREGATE
EACH CLAIM
1,000,000
1,000,000
Re: JRA Job No. 71057 - HealthPoint Admin 947 - 947 Powell Ave SW, Renton WA 98057
City of Renton is included as Additional Insured (except for Workers Compensation) with respect to the work at 947 Powell Ave SW, Renton WA 98057. This
insurance is primary and non-contributory with respects to General Liability. A Waiver of Subrogation applies as required by written contract. Coverage
afforded by the Umbrella/Excess policies captures the relevant terms, conditions, limitations and exclusions included under the scheduled underlying policies.
Comp / Coll Ded
2,000,000
2,000,000
XX
A
City of Renton
Attn: Kelsey R. Ternes, Risk Manager
1055 South Grady Way
Renton, WA 98057
Marsh USA, Inc.J.R. ABBOTT CONSTRUCTION INC.GLOBAL INFRASTRUCTURE SOLUTIONS, INC.3408 1ST AVE SOUTH, SUITE 101
SEATTLE,WA 98134
GENERAL LIABLITY - ALL OTHER STATES (EXCLUDES NEW YORK) LIMITS:
EACH OCCURRENCE - $2,500,000
DAMAGE TO RENTED PREMISIS (EA OCC) - $300,000
MED EXP (ANY ONE PERSON) - $10,000
PERSONAL & ADV INJURY - $2,500,000
GENERAL AGGREGATE - $5,000,000
PRODUCTS - COMP/OPS AGG - $5,000,000
*COVERAGE EFFECTIVE 06/01/2021