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Issue Date 5/220020 Cert#:00000 328 1 3 <br /> Non Profit Insurance Program <br /> CERTIFICATE OF COVERAGE <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,EXTEND 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 CERTIFICATE 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 /> Clear Risk Solutions GENERAL LIABILITY <br /> 451 Diamond Drive . American Alternative insurance Corporation,et al. <br /> Ephrata,WA 98823 <br /> AUTOMOBILE LIABILITY <br /> American Alternative Insurance Corporation,et al. <br /> INSURED PROPERTY <br /> American Alternative Insurance Corporation,et al. <br /> Camp Fire Snohomish County <br /> MISCELLANEOUS PROFESSIONAL LIABILITY <br /> 4312 Rucker Avenue <br /> 4312eR,WA 98203 Princeton Excess and Surplus Lines Insurance Company <br /> EverCOVERAGES <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 SHOWN 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-0000013-10 6/01/2020 6/01/2021 PER OCCURRENCE $5,000,000 <br /> OCCURRENCE FORM PER MEMBER AGGREGATE $10,000,000 <br /> INCLUDES STOP GAP PRODUCT-COMP/OP $5,000,000 <br /> PERSONAL&ADV.INJURY $5,000,000 <br /> (LIABILITY IS SUBJECT TO A$100,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $50,000,000 <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO N1-A2-RL-0000013-10 6/01/2020 6/01/2021 COMBINED SINGLE LIMIT $5,000,000 <br /> (LIABILITY IS SUBJECT TO A$100,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE <br /> PROPERTY <br /> N1-A2-RL-0000013-10 6/01/2020 6/01/2021 ALL RISK PER OCC EXCL EQ&FL $75,000,000 <br /> EARTHQUAKE PER OCC $1,000,000 <br /> FLOOD PER OCC $1,000,000 <br /> (PROPERTY IS SUBJECT TO A$100,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE <br /> MISCELLANEOUS PROFESSIONAL LIABILITY <br /> N1-A3-RL-0000060-10 6/01/2020 6/01/2021 PER CLAIM $5.000,000 <br /> (LIABILITY IS SUBJECT TO A$100,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $40,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES 1 SPECIAL ITEMS <br /> Regarding the Contract between the City of Everett and Camp Fire Snohomish County:Mega Club.City of Everett,its officers,employees and agents are named as <br /> Additional Insured regarding this contract only and are subject to policy terms,conditions,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 POLICY PROVISIONS. <br /> CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE <br /> City of Everett <br /> 2930 Wetmore Ave.,Suite 8A <br /> Everett, 98201 r. _. <br /> • <br /> 3531900 <br />