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AMERICAN ALTERNATIVE <br /> INSURANCE COMPANY <br /> ADDITIONAL INSURED- DESIGNATED PERSON OR ORGANIZATION <br /> (GENERAL LIABILITY) <br /> Named Insured <br /> Non Profit Insurance Program (NPIP) <br /> Policy Number Endorsement Effective <br /> N 1-A2-RL-0000013-10 6/1/2020 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> This endorsement modifies insurance provided under the following: <br /> GENERAL LIABILITY COVERAGE PART <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above. <br /> Schedule <br /> Person or Organization(Additional Insured): As Per Schedule on file with Clear Risk Solutions,Underwriting Administrator <br /> City of Everett,CHIP <br /> 2930 Wetmore Ave,Suite 8B <br /> Everett,WA 98201 <br /> Regarding Contract Number HCS-15-42-1213-198(1)for Kennedy Court.Special Form Property Coverage, <br /> Replacement Cost,no Coinsurance at:3228 Norton,Everett,WA--$228,411 Front Bldg.&$202,960 Rear Bldg.and <br /> 3230 Norton,Everett,WA--$280,194.Front Bldg.&$246,384 Rear Bldg.City of Everett is Loss Payee for Property <br /> Coverage and City of Everett,its officers,employees and agents are Additional Insured for General Liability and are <br /> subject to policy terms,conditions,and exclusions.Additional Insured and Loss Payee endorsements are attached. <br /> A. With respects to the General Liability Coverage Part only,the definition of Insured in the Liability Conditions,Definitions and Exclusions <br /> section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule.Such Person or <br /> Organization is an Insured only with respect to liability for Bodily Injury,Property Damage,or Personal and Advertising Injury <br /> caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf: <br /> 1. In performance of your ongoing operations;or <br /> 2. In connection with your premises owned or rented to you. <br /> B. The Limits of Insurance applicable to the additional Insured are those specified in either the: <br /> 1. Written contract or written agreement;or <br /> 2. Declarations for this policy, <br /> whichever is less.These Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations. <br /> All other terms and conditions remain unchanged. <br /> Includes copyrighted material of the Insurance Services Office,Inc.,with its permission <br /> 3531900 <br />