YWCA Seattle-King-Snohomish 3/10/2022

® ACCPRL CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYI) 9/22/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Amber Lohmeler Woodruff-Sawyer Oregon, Inc. PHONE 1050 SW 6th Avenue, Suite 1000 twc.No.Ext): 503.416.7195 FAX ,No): Portland OR 97204 ADDRESS: alohmeier@woodruffsawyer.com INSURER(S)AFFORDING COVERAGE NAIC# License#:820349 INSURERA:Great American Insurance Company 16691 INSURED YWCAOFS-01 INSURER B:Great American Assurance Company 26344 YWCA of Seattle-King County-Snohomish County 1118 Fifth Avenue INSURER C: Seattle WA 98101 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:913816146 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YY(Y) (MMIDDIYYYY) B X COMMERCIAL GENERAL LIABILITY Y PAC365230701 9/30/2021 9/30/2022 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY PRO- JECT X LOC PRODUCTS-COMP/OPAGG $3,000,000 OTHER: WA Stop Gap $1,000,000 A AUTOMOBILE LIABILITY CAP365230801 9/30/2021 9/30/2022 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _.,AUTOS ONLY AUTOS ONLY (Per accident) $ A X UMBRELLA LIAB X OCCUR UMB365230901 9/30/2021 9/30/2022 EACH OCCURRENCE $10,000,000 A EXX365231002 9/30/2021 9/30/2022 X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OOTH PEATUTE AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liability PAC365230701 9/30/2021 9/30/2022 Each Incident Limit $1,000,000 (Claims-Made) Aggregate Limit $3,000,000 Retro Date:December 15,1996 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Operations of the Named Insured subject to the terms,conditions and exclusions of the policy issued by the Insurance Company. City of Everett is included as additional insured as respects General Liability to the extent provided in the attached form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Everett • 2930 Wetmore Avenue, Suite 8A AUTHORIZED REPRESENTATIVE Everett WA 98201 t(n rVeduntwz. I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD