Snohomish County Legal Services 4/12/2021

INSURANCE COMPANY ADDITIONAL INSURED—DESIGNATED PERSON OR ORGANIZATION (GENERAL LIABILITY) Named insured Policy Number I Endorsement Effective 5 OIjUli THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: GENERAL LIABILITY COVERAGE PART This endors ement changes the policy effective on the inception date of the policy unless another date is indicated above. Schedule Person or Organization{Additional Insured): As Per Schedule on file with/!I//Jill!/lNll/,Undeiwrlt ng Administrator City of Everett 2930 Wetmore Ave STE 8A Everett,WA 98201 Regarding funding source.City of Everett,its officers,employees and agents are named as Additiorai Insureds regarding this source only and are subject to policy terms,conditions and exlcuisons.Additional Insured endorsement is attached. A. With respects to the General Liability Coverage Part only,the definition of Insured in the Liability Conditions,Definitions and Exclusions section of this policy is amended to Include as an Insured the Person or Organization shown in the above Schedule.Such Person or Organization is an insured only with respect to liability far Bodily Injury,Property Damage,or Personal and Advertising Injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In performance of your ongoing operations;or 2. In connection with your premises owned or rented to you. B. The Li mits of Insurance applicable to the additional Insured are those specified in either the: 1. Written contractor written agreement;or 2, Declarations for this policy, whichever Is less.These Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations. All other terms and conditions remain unchanged, Includes copyrighted material of the Insurance Services Office, Inc.,with its permission. RL 2163 12/12 Page 1 of 1 3435188