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Certificate of Liability Insurance PRE15-000871
RiskStrategies12601NorthCentralExpy.Suite1710Dallas,TX75243MAILDOCUMENTCertiflcaleofInsuranceDelivers’byecersonhineTMCityofRentonSender:RonnaDansATTN:AnnFowler,CivilEngineer1055SouthGradyWayIhone:RentonWA98057Subject:CertNo.53701919-CertificateofLiability:HuillZollars,Inc.-Date:1/21/2020No.ofPages:2URL:5ySte’’5THISMESSAGEISINTENDEDFORTHEUSEOFTHEINDIVIDUALORENTITYTOWHICHITISAODRESSEDANDMAYCONTAININFORMATIONTHATIsPRMLEGEOCONFIDENTIALANOEXEMPTPROMCISSLOSUREUNCERAPPLICABLELAW,IFTHEREADEROFTHEMESSAGEISSOTTHEINTENDEDRECIPIENT,ORTHEEMPLOYEEORAGENTRESPONSIBLEFORDELIVERINGTHEMESSAGETOTHEINTENDEDRECIPIENT,YOUEWEHEREBYNOTIPIBOTHATkNYDISSEMINATION,DISTRIBUTIONORCOPYINGOFTHISCOMMUNICATIONISSTRICTLYPROHIBREO.IFYOUHAVERECEPIEDTHISCOMMUNICATIINERROR,PLEASENOTIFYUSIMEDIATELYBYTELEPHONEANDRETURNTHEORIGINALMESSAGETOUSATTHEABOVEAGGRESSVIAREGULARPOSTALSERVICE.CertificateofInsuranceDeliveredbyecertsonhineTMInsuranceVisions,Inc.Allrightsreserved. _-1,®ACcRLCERTIFICATEOFLIABILITYINSURANCETHISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S),AUTHORIZEDREPRESENTATIVEORPRODUCER,ANDTHECERTIFICATEHOLDER.IMPORTANT:IfthecertificateholderisanADDITIONALINSURED,thepolicy(ies)musthaveADDITIONALINSUREDprovisionsorbeendorsed.IfSUBROGATIONISWAIVED,subjecttothetermsandconditionsofthepolicy,certainpoliciesmayrequireanendorsement.Astatementonthiscertificatedoesnotconferrightstothecertificateholderinlieuofsuchendorsement(s).CONTACTPRODUC ER RiskStrateaiesNAME:JoeBryant—_ _ _____________ _ _ _ _ _ _ ____________12801Nort1iCentralExpy.Suite1710PHONEFAXIA/C,No,ExtI:(214)503-1212I(AIC,No):(214)5038899Dallas,TX75243E-MAILEDDRESS:CertifiCatedallas@risk-strategies.ComINSURER(S)AFFORDINGCOVERAGE—NAIC#INSURERA:BerkleyInsuranceCompany32603INSUREDINSURERB:Huitt-Zollars,Inc.INSURERC:1717McKinneyAve.Ste.1400INSURERD:DallasTX75202INSURERE:INSURERF:COVERAGESCERTIFICATENUMBER:53701919REVISIONNUMBER:INSRADDLSUBRPOLICYEFFPOLICYEXPLTR—TYPEOFINSURANCEINSOPOLICYNUMBER¶MMIDDIYYYYI‘MMIDDIYYYYILIMITSfCOMMERCIALGENERALLIABILITYEACHOCCURRENCE$T7DAMAGETORENTEDCLAIMS-MADEOCCURPREMISES(Esoccurrence)$]MEDEXP(Anyoneperson)$PERSONAL&ADVINJURY$GENLAGGREGATELIMITAPPLIESPERGENERALAGGREGATE$POLICYLOCPRODUCTS-COMP/OPAGO$——$AUTOMOBILELIABILITYCOMBINEDSINGLELIMIT$ANYAUTOBODILYINJURY(Perperson)$OWNEDSCHEDULEDBODILYINJURY(Peraccidenl)$HIREDNON-OWNEDPROPERTYDAMAGE$AUTOSONLYAUTOSONLY(Peraccidenl)UMBRELLALIABL_]OCCUREACHOCCURRENCE$EXCESSLIABCLAIMS-MADEAGGREGATE$DEDLTRETENTION—$WORKERSCOMPENSATION—PER0TH-ANDEMPLOYERS’LIABILITYY/NSTATUTEERANYPROPRIETOR/PARTNER/EXECUTIVEEL.EACHACCIDENT$OFFICER/MEMBEREXCLUDED?N/A(MandatoryInNH)EL.DISEASE-EAEMPLOYEE$Ifyes,describeunderDESCRIPTIONOFOPERATIONSbelow——EL.DISEASE-POLICYLIMIT$AProfessionalLiability/AEC-9034415-041/23/20201/23/2021PerClaim$1,000,000PollutionLiabilityAnnualAggregate$1,000,000DESCRIPTIONOFOPERATIONSILOCATIONSIVEHICLES(ACORD101,AdditionalRemarksSchedule,maybeattachedifmorespaceisrequiredlTheClaimsmadeprofessionalliabilitycoverageisthetotalaggregatelimitforallClaimspresentedwithintheannualpolicyperiodandissubjecttoadeductible.Thirty(30)daynoticeofcancellationinfavorofcertificateholderonallpolicies.RE:VMCTalbotRdandNorthRd-ProjectNumber(HZ):R308738.02CERTIFICATEHOLDERCANCELLATION.SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORECityofRenton, ,.THEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVEREDINATTN:AnnFowler,CIvIlEngineerACCORDANCEWITHTHEPOLICYPROVISIONS.1055SouthGradWayRentonWA980AUTHORIZEDREPRESENTATIVE4IJoeBryantDATEIMM/DDIYYYYI1/21/2020THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIODINDICATED.NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHISCERTIFICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMS,EXCLUSIONSANDCONDITIONSOFSUCHPOLICIES.LIMITSSHOWNMAYHAVEBEENREDUCEDBY°AIDCLAIMS.©1988-2015ACORDCORPORATION.Allrightsreserved.ACORD25(2016103)TheACORDnameandlogoareregisteredmarksofACORD0370191920/21FLMasterIRonnaDensI1/21/202012O3:O0PMlEST)Page1of1