YWCA 8/29/2019 - Laserfiche WebLink

ACS® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/02/2018 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 i°,�—'—' certificate does not confer rights to the certificate holder in lieu of such endorsement(s). .c PRODUCER CONTACT d NAME: Aon Risk Insurance Services West, Inc. PHONE (206) 749-4800 FAX (206) 749-4860 y Seattle WA Offi ce (NC.No.Eat): (NC.No.): v _ 1420 Fifth Avenue E-MAIL Suite 1200 ADDRESS: C X Seattle WA 98101-4030 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Philadelphia Indemnity Insurance Company 18058 Young Women's Christian Association INSURER B: Seattle/King & Snohomish Cty. 1118 Fifth Avenue INSURER C: Seattle WA 981010000 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570073446105 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. Limits shown are as requested INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) )IMMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY PHPK1885463 09/30/2018 69/30/2019 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000 PREMISES(Ea occurrence) X Stop Gap Coverage Included MED EXP(Any one person) $5,000 PERSONAL 8ADV INJURY $1,000,000 p GEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $3,000,000 POLICY f I PRO-JECT X LOC PRODUCTS-COMP/OPAGG $3,000,000 A OTHER: STOP GAP Limit $1,000,000 o to A AUTOMOBILE LIABILITY PHPK1885463 09/30/2018 09/30/2019 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) .. X ANY AUTO BODILY INJURY(Per person) o OWNED -SCHEDULED BODILY INJURY(Per accident) at AUTOS ONLY _AUTOS - HIREDAUTOS NON-OWNED PROPERTY DAMAGE U ONLY _AUTOS ONLY (Per accident) i.--. X Comp.Ded.$500 X Coll.Ded.$1,000 t' d A X UMBRELLALIAB X OCCUR PHUB648500 09/30/2018 09/30/2019 EACH OCCURRENCE $10,000,000 0 EXCESSLIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION 410,000 WORKERS COMPENSATION AND _ EMPLOYERS'LIABILITY Y/N I STATUTE I I EERH ANY PROPRIETOR/PARTNER/EXECUTIVE rrI E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? I I N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A E&O-PL-Primary PHPK1885463 09/30/2018 09/30/2019 Each Incident Limit $1,000,000 Claims Made Aggregate Limit $3,000,000 aim DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Everett is included as Additional Insured in accordance with the policy provisions of the General Liability policy. ti_ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE -.IL; POLICY PROVISIONS. A_� City of Everett AUTHORIZED REPRESENTATIVE L_j 2930 Wetmore Ave., Suite 8A =f Everett WA 98201 USA Ai A f 1 � � .;efn M e�9Nla/ 7(!. D e C/� ��YJ/ MI ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD