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AMERICAN ALTERNATIVE <br /> INSURANCE COMPANY <br /> ADDITIONAL INSURED—DESIGNATED PERSON OR ORGANIZATION <br /> (GENERAL LIABILITY) <br /> Named Insured <br /> Non Profit Insurance Program (NPIP) <br /> Policy Number Endorsement Effective <br /> Ni-A2-RL-0000013-08 6/1/2016 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> This endorsement modifies insurance provided under the following: <br /> GENERAL LIABILITY COVERAGE PART <br /> This endors ement changes the policy effective on the inception date of the policy unless another date is indicated above. <br /> Schedule <br /> Person or Organization(Additional Insured): As Per Schedule on file with Clear Risk Solutions,Underwriting Administrator <br /> City of Everett <br /> 2930 Wetmore Ave,Suite 10A <br /> Everett,WA 98201-4067 <br /> Regarding funding contract, Everett Human Needs Shelter.City of Everett is named as Additional Insured regarding <br /> this contract only and is subject to policy terms,conditions,and exclusions.Additional Insured endorsement is attached. <br /> A. With respects to the General Liability Coverage Part only,the definition of Insured in the Liability Conditions,Definitions <br /> and Exclusions section of this policy is amended to include as an Insured the Person or Organization shown in the above <br /> Schedule.Such Person or Organization is an Insured only with respect to liability for Bodily Injury,Property Damage,or <br /> Personal and Advertising Injury caused in whole or in part by your acts or omissions or the acts or omissions of those <br /> acting on your behalf: <br /> 1. In performance of your ongoing operations;or <br /> 2. In connection with your premises owned or rented to you. <br /> B. The Limits of Insurance applicable to the additional Insured are those specified in either the: <br /> 1. Written contract or written agreement;or <br /> 2. Declarations for this policy, <br /> whichever is less.These Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations. <br /> All other terms and conditions remain unchanged. <br /> Includes copyrighted material of the Insurance Services Office,Inc.,with its permission. <br /> RL 2163 12/12 Page 1 of 1 <br /> 3230597 <br />