American Red Cross Snohomish County Chapter 2/22/2017

ACcwc•® DATE(MM/DDIYYY) �� CERTIFICATE OF LIABILITY INSURANCE 0511012017 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 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). CONTACT PRODUCER NAME: Marsh USA Inc.(Philadelphia) PHONE FAX 1717 Arch Street IA/C.No.Ext): (A/C.No): Philadelphia,PA 19103 E-MAILADDRESS: 215.246.1000 fax215.246.1399 INSURER(S)AFFORDING COVERAGE NAIC# Attn:Redcross.certrequest@marsh.com 849428-ALL-CAS-16-17 INSURER A:Old Republic Insurance Company 24147 INSURED INSURER B: SNOHOMISH COUNTY CHAPTER AMERICAN NATIONAL RED CROSS INSURER C: 2530 LOMBARD AVENUE INSURER D: EVERETT,WA 98201 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-005329112-02 REVISION NUMBER:3 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP WLIMITS INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABIUTY MWZZ 307927 07/01/2016 07/01/2017 EACH OCCURRENCE $ 5,000,000 DAMAGE TO X CLAIMS-MADE OCCUR PREMISES(EaENTED occurrence) $ 5,000,000 X SIR$100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 5,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ INCLUDED JECT OTHER: $ AUTOMOBILE LIABILITY CO aBINED SINGLE LIMIT $ BODILY INJURY(Per person) $ ANY AUTO — ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS PROPERTY DAMAGE NON-OWNED (Per accident) $ HIRED AUTOS AUTOS $ UMBRELLA UAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:DIRECT FINANCIAL ASSISTANCE TO EVERETT RESIDENT FAMILIES AFFECTED BY DISASTER. THROUGHOUT THE POLICY PERIOD,7/1/2016-7/1/2017. CITY OF EVERETT,ITS OFFICERS,EMPLOYEES AND AGENTS ARE INCLUDED AS ADDITIONAL INSURED WITH REGARDS TO COMMERCIAL GENERAL LIABILITY COVERAGE WHERE REQUIRED BY CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF EVERETT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN:REBECCA MCCRARY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2930 WETMORE AVE.STE.8A ACCORDANCE WITH THE POLICY PROVISIONS. EVERETT,WA 98201 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee .Ma. D I-. I @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD