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Issue Date 5/26/2021 Cert#:0000032566 <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 /> Arc of Snohomish County,The MISCELLANEOUS PROFESSIONAL LIABILITY <br /> dba ARC of Snohomish County Princeton Excess and Surplus Lines Insurance Company <br /> 2500 Hewitt Avenue,Suite 300 <br /> Everett,WA 98201 <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-0000013-12 6/1/2021 6/1/2022 PER OCCURRENCE $1,000,000 <br /> OCCURRENCE FORM PER MEMBER AGGREGATE $2,000,000 <br /> INCLUDES STOP GAP PRODUCT-COMP/OP $1,000,000 <br /> PERSONAL&ADV.INJURY $1,000,000 <br /> (LIABILITY IS SUBJECT TO A$150,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $50,000,000 <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO N1-A2-RL-0000013-12 6/1/2021 6/1/2022 COMBINED SINGLE LIMIT $1,000,000 <br /> (LIABILITY IS SUBJECT TO A$150,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE <br /> PROPERTY <br /> N1-A2-RL-0000013-12 6/1/2021 6/1/2022 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$150,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE <br /> MISCELLANEOUS PROFESSIONAL LIABILITY <br /> N1-A3-RL-0000060-12 6/1/2021 6/1/2022 PER CLAIM $1,000,000 <br /> (LIABILITY IS SUBJECT TO A$150,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $40,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> Regarding funding source.City of Everett,its officers,employees and agents are named as Additional Insureds regarding thissource only and are subject to policy terms, <br /> conditions and exlcuisons.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 STE 8A <br /> Everett,WA 98201 �i <br />