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Issue Date 5/22/2020 Cert#.0000026922
<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 /> Housing Hope
<br /> 5830 Evergreen Way MISCELLANEOUS PROFESSIONAL LIABILITY
<br /> Princeton Excess and Surplus Lines Insurance Company
<br /> Everett,WA 98203
<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 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 Excluded
<br /> FLOOD PER OCC Excluded
<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/SPECIAL ITEMS
<br /> Regarding CD Block Grant for the Commerce Building-1801 Hewitt Avenue,Everett,WA. Property Insurance is Replacement Cost(no coinsurance)at the following
<br /> declared RC Limits:$4,832,951 Bldg;$240,000 Business Income. City of Everett,Department ofPlanning&Community Development,its officers,employees,and agents
<br /> are named as Additional Insured and Loss Payeeregarding this grant only and is subject to policy terms,conditions,and exclusions. Additional Insured(Form CG 20 26 07
<br /> 04)and Loss Payee endorsements are 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 •
<br /> v Everett-Dept.of Planning&Community
<br /> Development
<br /> 2930 Wetmore Ave,Suite 8B
<br /> Everett,WA 98201
<br /> 3531900
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