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HousH159 <br /> Non Profit Insurance Program <br /> CERTIFICATE OF COVERAGE"- <br /> .„Issue Date: 0511812018'- <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES <br /> NOT AMEND,EXTEN D OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUE A CONTRACT <br /> BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERT IFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed If SUBROGRATION IS WAIVED,subject to the terms and conditions of <br /> the policy,certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER COMPANIES AFFORDING COVERAGE <br /> GENERAL LIABILITY <br /> Clear Risk Solutions American Alternative Insurance Corporation,et al. <br /> 451 Diamond Drive <br /> Ephrata,WA 98823 AUTOMOBILE LIABILITY <br /> American Alternative Insurance Corporation,et al. <br /> INSURED <br /> PROPERTY <br /> Housing Hope American Alternative Insurance Corporation,et al. <br /> 5830 Evergreen Way MISCELLANEOUS PROFESSIONAL LIABILITY <br /> Everett, WA 98203 Princeton Excess and Surplus Lines Insurance Company <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD <br /> INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SH OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP DESCRIPTION LIMITS <br /> DATE - DATE <br /> GENERAL LIABILITY <br /> COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-09 06/01/2018 06/01/2020 PER OCCURRENCE $5,000,000 <br /> OCCURRENCE FORM PER MEMBER AGGREGATE $10,000,000 <br /> INCLUDES STOP GAP PRODUCT-CO MP/OP $5,000,000 <br /> PERSONAL&ADV.INJURY $5,000,000 <br /> (LIABILITY IS SUBJECT TO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $50,000,000 <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO N1-A2-RL-0000013-09 06/01/2018 06/01/2020 COMBINED SINGLE LIMIT $5,000,000 <br /> (LIABILITY IS SUBJECT TO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE <br /> PROPERTY <br /> N1-A2-RL-0000013-09 06/01/2018 06/01/2020 ALL RISK PER OCC EXCL EQ&FL $75,000,000 <br /> EARTHQUAKE PER OCC EXCLUDED <br /> FLOOD PER OCC EXCLUDED <br /> (PROPERTY IS SUBJECT TO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE <br /> MISCELLANEOUS PROFESSIONAL LIABILITY <br /> N1-A3-RL-0000060-09 06/01/2018 06/01/2020 PER CLAIM $1,000,000 <br /> (LIABILITY IS SUBJECT TO A $50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $40,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I SPECIAL ITEMS <br /> Regarding Community Development Block Grant Program CFDA#14.218 College of Hope. City of Everett, its officers, <br /> employees, and agents are named as Additional Insureds regarding this grant only and are subject to policy terms,conditions, <br /> and exclusions. Additional Insured endorsement is attached. <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE <br /> WITH THE POLI CY PROVISIONS <br /> CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE <br /> Dept.of Planning&comm Development <br /> City of Everett <br /> 2930 Wetmore Ave, Ste 8A <br /> Everett,WA 98201 <br /> 3394401 <br />