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052-14 - Cascade Natural Gas Corporation - Insurance Exp 1-1-2019ACOR 7 a C40 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/22/2017 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 endorsement(s). PRODUCER Marsh USA Inc. 333 South 7th Street, Suite 1400 CONTACT NAME: PHOWC.NEExtie aC No): E-MAIL ADDRESS: Minneapolis, MN 55402-2400 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Associated Electric & Gas Ins Services Ltd 3190004 J43750-CASCA-GAWX-18-19 Cascad INSURED Cascade Natural Gas Corporation 8113 West Grandridge Blvd INSURER B : Liberty Mutual Fire Insurance Company 23035 INSURER c : Liberty Insurance Corporation 42404 INSURER D Kennewick, WA 99336-7166 i Ild /*'� o � �� 97Q U INSURER E : ep INSURER F : COVERAGES CERY(V4"I,Fw WUQW6jt^G CHI-008512862-16 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES O LIS ED 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 TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY XL5063407P 01/01/2018 01/01/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE DOCCUR Excess General Liability DAMAGE ETO a oNTEPREMIccuante $ MED EXP (Any one person) $ "$500,000 Self -Insured Retention" PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER: A AUTOMOBILE LIABILITY XL5063407P 01/01/2018 01/01/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO Excess Auto Liability OWNED SCHEDULED AUTOS ONLY AUTOS "$500,000 Self -Insured Retention" BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR XL5063407P 01/01/2018 01/01/2019 EACH OCCURRENCE $ 5,000,000 X HCLAIMS-MADE AGGREGATE $ 5,000,000 EXCESS LIAB DIED RETENTION $ $ B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? E (Mandatory in NH) N / A WC2-641-005097-028 (Guar. Cost) WA7-64D-005097-018(AOS) "INCLUDES "STOP GAP"" 01/01/2018 01/01/2019 01/01/2019 X PER OTH- 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. I-IUA I t City of Port Orchard Attn: 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 of Marsh USA Inc. ManashiMukherjee _K&%Arr,.at..: „thyr. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD mim (3) ThB DISCOVERY PERIOD shall not reinstate or increase the COMPANY'S Limits of Liability or extend the POLICY PERIOD and shall apply only with respect to OCCURRENCE $ during the COVERAGE PERIOD. (4) The DISCOVERY PERIOD shall not be cancellable by the COMPANY except for non-payment of premium where applicable or for fraud or material misreprosentallon, (5) The DISCOVERY PERIOD shall not apply to any claim or any part of any claim which is covered by a subsequent insurance polic issued b I y y the COMPANY or by any other insurer or would be covered but for the exhaustion of the applicable limit of liability of such subsequent insurance policy; except, however, that, the DISCOVERY PERIOD shall apply to any claim which is covered by a subsequent insurance policy Jssued by the COMPANY when: such DISCOVERY PERIOD arises under section (1) (b) of this Condition (N) because of the imposition of a lower Iiinit of liability under such subsequent insurance policy, provided, however, that the maximum amount payable by the COMPANY under this POLICY for ULTIMATE NET LOSS with respect to any clairn covered tinder such DISCOVERY PERIOD shall be the arnount of the difference between the Limit of Liability under this POLICY and the lower limit of liability under the subsequent insurance policy issued by tile COMPANY and shall apply excess of the applicable limit. of liability of such subsequent Insurance policy. (0) Currency All arnounts stated herein are expressed In United States Dollars and all amounts payable hereunder are payable in United States Dollars. (P) Sole Agani The NAMED INSURED first named in Itern 1 of (lie Declarations shall be deemed the sole agent of each INSURED hereunder for the purpose of issuing Instructions for any alteration of [his POLICY, making premium payments and adjustments, receipting payman(s of indemnity or receiving notices, including notice of cancellation from the COMPANY, (Q) Cancellation This POLICY may be cancelled: 0) at any time by the NAMED INSURED by mailing written notice to the COMPANY stating when ,'thereafter cancellation shall be effective; or (2) at any time by the COMPANY by mailing written notice to the NAMED INSURED stating when, not less than ninety (90) days from the date notice was mailed, cancellation shall be effective; except, in the event of cancellation for non-payment of premiurns, such cancellation shall become effective ten 10) days after the notice was mailed. Proof of malling of notice to the respective addresses in Items 7 and 8 of the Declarations shall be sufficient proof of notice and the POLICY PERIOD shall and on the eff%live date and hour of cancellation stated in the notice. Deli -very of such notice either by the NAMED INSURED or the COMPANY shall be equivalent to maillng. In the event of cancellafion by the INSURED, the prernium retained by the COMPANY shall be calculated in accordance with the COMPANY'S short rate table which shall be made available to the INSURED upon request. In the event of cancellation by the COMPANY, the premium felalnt:d by the COMPANY shall be calculated on a pro-rata basis. The offer by the COMPANY of renewal an terms or premiums different from those. in effect during the POLICY PERIOD shall not constitute cancellation or refusal to renew this POLICY, (R) Dispute Resolution and Service of Suit Any controversy or dispute arising out of or relating to this POLICY, or the breach, termination or validity thereof, shall be. resolved L9 accordance with the procedures specified in this Section IV,(R), which shall be the sole and exclusive procedures for the resolution of any such controversy or dispulp, (1) Negotiation. The INSURED and the COMPANY shall attempt in good faith to promptly resolve any controversy or dispute arising out of or relating to this POLICY by negotiations between executives Who have authority to settle the controversy, Any party may give the other party written n . atice of any dispute not resolved In the normal course of business. Within fifteen (15) days the receiving party 8100 (0112013) [15 of 171 Print Date; 12J21,2016 1461X THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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: Name of Other Person(s) Organization(s): Per schedule of certificate holders on file with the company SCHEDULE Email Address or mailing address: Per schedule of certificate holders on file with the company All other terms and conditions of this policy remain unchanged. Issued by Liberty Insurance Corporation 21814 For attachment to Policy No. WA7-64D-005097-018 Effective Date Issued to Centennial Energy Holdings, Inc. Number pays Notice: M Premium $ WC 99 20 75 U 2016 Liberty Mutual Insurance Page 1 of 1 Ed. 12101/2016 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. 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. Ou. r 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 of certificate Per schedule of certificate 90 holders on file with the holders on file with the company company All other terms and conditions of this policy remain unchanged. Issued by Liberty Mutual Fire Insurance Company 16586 For attachment to Policy No. WG2-641-005097-028 Effective Date Premium $ Issued to MDU Resources Group, Inc. WC 99 20 75 v 2016 Liberty Mutual Insurance Page 1 of 1 Ed. 12101/2016