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INTEASS-02 JRIORDAN <br /> d'ek C)REj, CERTIFICATE OF LIABILITY INSURANCE DATE <br /> A E(MMn02�1) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Jamie Riordan <br /> WAFD Insurance Group,Inc. PHONE <br /> Ems);(360)629-2103 FAx <br /> Thomas and Associates I (Arc,No►:(360)629-9702 <br /> PO Box 457 ADDRESS:Jamier@thomasins.com <br /> Stanwood,WA 98292 <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Philadelphia Indemnity Insurance Company <br /> INSURED INSURER B: <br /> Interfaith Association of Northwest Washington INSURER C: <br /> PO Box 12824 INSURERD: <br /> Everett,WA 98206 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD IMM/DD/YYYYI IMM/DD/YYYYI <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE X OCCUR PHPK2289820 8/22/2021 8/22/2022 DAMAGETORENTED 100,000 <br /> PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000'000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 <br /> X POLICY PRO- <br /> JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: Prof.Liability $ 1,000,000 <br /> COMBINED SINGLE LIMIT 1,000,000 <br /> A AUTOMOBILE LIABILITY (Ea accident) <br /> ANY AUTO PHPK2289820 8/22/2021 8/22/2022 BODILYINJURY(Perperson) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS <br /> y�� BODILY INJURY(Per accident) $ <br /> X AUTOS ONLY X AUUTOS ONLYY (Perr accdent)DAMAGE <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION STATUTEPER ERH <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANYIPROPRIETOR/PARTNERS ECUTIVE N/A E.L.EACH ACCIDENTO $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if mom space is required) <br /> Certificate holder is an additional insured per the PI-GLD-HS(10/11)endorsement. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Everett ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Department of Planning&Community Development <br /> 2930 Wetmore Ave.,Ste.8A <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />