Interfaith Association of Northwest WA 4/26/2022

____..--.44, 1NTEASS-02 JRIORDAN ! ACC)RO` DATE(MMIDD/YYYY) i �� CERTIFICATE OF LIABILITY INSURANCE 7J12r2021 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 Jamie Riordan WAFD Insurance Group,Inc. PHONE Thomas and Associates (AIc,No,Ext):(360)629-2103 I lac,N0:(360)629-9702 E-MAIL ADDRESS:jamier@thomasins.com thomaslns.com g PO Box 457 Stanwood,WA 98292 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Philadelphia Indemnity Insurance Company INSURED INSURER B: 3 Interfaith Association of Northwest Washington INSURER C: PO Box 12824 INSURER P: i Everett,WA 98206 INSURER E: 1 INSURER F: 1 COVERAGES CERTIFICATE NUMBER: 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 I 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMMIDD/YYYYI (MMIPDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1 CLAIMS-MADE X OCCUR PHPK2289820 8/22/2021 8/2212022 DAMAGETORENTED 100,000 } PREMISESlEaoccurrenm) $ 5,000 MED EXP(Any one person) $ ' 1 PERSONAL 8,ADV INJURY $ 1,000,000 2,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ a X POLICY jEa LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Prof.Liability $ 1,000,000 k A AUTOMOBILE LIABILITY COMBINEfEa D SINGLE LIMIT nn $ 1,000,000 . ANY AUTO PHPK2289820 8/22/2021 8/2212022 BODILY INJURY(Per person) $ z OWNED SCHEDULED AUTOS ONLY AUTOS �Aq� BODILY INJURY(Per accident) $ X AUTOS X ONLY AUTOS ONELYY (P OaEEFORAMAGE $ $ 1 i UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS L1AB CLAIMS-MADE AGGREGA E $. DED RETENTION$ $ • WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTE ER-ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ and WM En NHJ EXCLUDED? I I N I A E.L DISEASE-EA EMPLOYEE $ If yes,describe under is DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ i DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached IT more space is required) % Certificate holder is an additional insured per the PI-GLD-HS(10/11)endorsement. ( CERTIFICATE HOLDER CANCELLATION ( SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. a Department of Planning&Community Development 2930 Wetmore Ave.,Ste.8A AUTHORIZED REPRESENTAT1vE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I