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052-14 - Cascade Natural Gas - Insurance Exp 1-1-2023'`!c RtQ oa CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 12/07/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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(ies) must have ADDITIONAL INSURED provisions or 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 endorsements . PRODUCER CONTACT Marsh I U.S. Operations Marsh USA Inc. 333 South 7th Street, Suite 1400 PHONNo,EEXtk 866 966 4664 PiC No : 212-948 5382 Minneapolis, MN 55402-2400 1 E-MAIL MDU.CertRequest@marsh.com CN 102299309-CASCA-GAWX-22- INSURED Cascade Natural Gas Corporation 8113 West Grandridge Blvd Kennewick, WA 99336-7166 CNGC ADDRESS. INSURER(S) AFFORDING COVERAGE INSURER A: Associated Electric & Gas Ins Services Ltd INSURER C : Liberty Insurance NAIC # 3190004 42404 INSURER E : I INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-008512862-23 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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. INSR LTR I TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY XL6063411P 01/01/2022 01/01/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR Excess General Liability $ b-A rY"S (Ea ocauED MED EXP (Any one person) $ "$500,000 Self -Insured Retention" PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER A AUTOMOBILE LIABILITY XL5063411P 01/01/2022 01101/2023 accidentCOM ,I,INGLELIMIT Ea $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO Excess Auto Liability OWNED SCHEDULED AUTOS ONLY AUTOS "$500,000 Self -Insured Retention" BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par _ $ X HIRED FXNON-OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAO OCCUR XL5063411P 01/01/2022 01/01/2023 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N FFICE /MEMB R/PARTNER/EXECUTIVE OFFICER/MEMBER (Mandatory in EREXCLUDED7 (Mandatory in NH) N / A WA7-64D-005097-022 (Regulated) WA7 64D-005097 012 AOS ( ) "INCLUDES "STOP GAP"" 0110112022 0110112022 01/0112025 0110112023 X IPER OTIi- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYEE $ 1,000,000 IF yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Excess liability applies to general liability, products and completed operations, automobile liability, and employers liability. CERTIFICATE HOLDER CANCELLATION City of Port Orchard Altn: City Clerk's Office 216 Prospect St. Port Orchard, WA 98366 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 I/tGi� vt.57,14 19GLG. 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 0001407 SP 0545-001-P01407.1 City of Port Orchard Attn: City Clerk's Office 216 Prospect St. Port Orchard, WA 98366 0545-01-00-0001407-0001-0007730 m 4AEGIS ASSOCIATED ELECTRIC & GAS INSURANCE SERVICES LIMITED Endorsement No. 24 Attached to and forming part of POLICY No. XL5063411 P NAMED INSURED: MDU Resources Group, Inc. Effective date of Endorsement January 1, 2022 It is understood and agreed that this POLICY is hereby amended as indicated. All other terms and conditions of this POLICY remain unchanged. CONDITION (0) CANCELLATION ENDORSEMENT (Blanket (Basis) With respect to those persons or organizations entitled by contract or written agreement with the NAMED INSURED to receive a notice of cancellation, Condition (Q) Cancellation is replaced by the following: (Q) Cancellation This POLICY may be cancelled: (1) at any time: by the NAMED INSURED by mailing written notice to the COMPANY stating when thereafter cancellation will be effective; or (2) at any time by the COMPANY by mailing written notice to: a. the NAMED INSURED stating when, not less than ninety (90) days from the date notice was mailed, cancellation will be effective; except, in the event of cancellation for nonpayment of premiums, when cancellation will become effective ten (10) days after the notice was mailed, or b. any person or organization entitled by contract or written agreement with the NAMED INSURED to receive a notice of cancellation stating when, not less than thirty (30) days from the date notice was mailed, cancellation will be effective with respect to such person or organization; except, in the event of cancellation for non-payment of premiums, when cancellation will become effective ten (10) days after the notice was mailed. The NAMED INSURED shall provide to the COMPANY, on a quarterly basis or at any time requested by the COMPANY, a list of the names and addresses of each such person or organization entitled to receive a notice of cancellation. Notwithstanding the above, the COMPANY`S failure to provide notice to any person or organization other than the NAMED INSURED will not impose any obligation or liability upon the COMPANY nor will it extend the effective date and hour of cancellation of this POLICY or otherwise negate such cancellation. Such notice is a matter of information and courtesy only. Proof of mailing of notice to the respective addresses in Items 7 and 8 of the Declarations will be sufficient proof of notice and the POLICY PERIOD will end on the effective date and hour of cancellation stated in the notice. Delivery of such notice either by the NAMED INSURED or the COMPANY will be equivalent to mailing. 100-EB457 (08/2021) Page 1 of " 0545.01.00.0001407-0002-0007731 PRINT - 12102/2021 17;384' N. NOTICE OF CANCELLATION TO THIRD PARTIES A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule below. We will send notice to the email or nailing address listed below at least 10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. Schedule Name of Other Person(s) I Email Address or mailing address: Organization(s): Per Schedule on file with the Per Schedule on file with the Company Company All other terms and conditions of this policy remain unchanged. Issued by Liberty Insurance .Corporation 21814 For attachment to Policy No. WA7-6413-005097-012 EfectiVe pate Issued to Centennial Energy Holdings, Inc. Number Days Notice: Premium $ Endorsement No. WC 99 20 76 0 2016 Liberty Mutual Insuranoe Page 1 of 1 Ed. 12/01/2016 NOTICE OF CANCELLATION TO THIRD PARTIES A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at least 10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. Schedule Name of Other Person(s)1 Email Address or mailing address: Number Days Notice: Organization(s): Per schedule on file with the Per schedule on file with the 90 Company Company All other terms and conditions of this policy remain unchanged. Issued by Liberty Insurance Corporation 21814 For attachment to Policy No. WA7-64D-005097-022 Effective Date Premium $ Issued to MDU Resources Group, Inc. Endorsement No. WC 99 20 75 Ed. 12/01/2016 ® 2016 Liberty Mutual Insurance Page 1 at ' 0545-01.00-0001407-0003-0007732