YWCA of Seattle King County Snohomish County 2/22/2017

,---",11 ® DATE(MWDO/YYYY) �` n CERTIFICATE OF LIABILITY INSURANCE 10/05/2016 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 POUCIES 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 w this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT 0PRODUCER 9 Aon Risk Insurance Services West, Inc. PHONE FAX Seattle WA Office (A/C.No.Ed (206) 749-4800 (NC.No.): (206) 749-4660 `m m 1420 Fifth Avenue E-MAIL 5 Suite 1200 ADDRESS: _ Seattle WA 98101-4030 USA INSURER(S)AFFORDING COVERAGE NAIC N INSURED INSURER A: Philadelphia Indemnity Insurance Company 18058 Young women's Christian Association INSURER B: Seattle/King & Snohomish Cty. 1118 Fifth Avenue INSURER C: Seattle WA 981010000 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570064093365 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. Limits shown are as requested INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD INK/ POLICY NUMBER /MM/DD/yyyyt rMip/Op/yyyyl UNITS A X COMMERCIAL GENERALUABILITY PHPK1558881 9/30/201 09/30/2011 EACH OCCURRENCE $1,000,000 II�X Il DAMAGE TO RENTED CLAIMS-MADE l OCCURPREMLSES(Ea occurrence) $1,000,000 X Stop Gap Coverage Included MED EXP(Any one person) 520,000 PERSONAL&ADV INJURY $1,000,000 m GEN.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,006 n POLICY I I PRO- JE n LOC PRODUCTS-COMP/OP AGG $3,000,000 3 OTHER: STOP GAP Lknit $1,000,000 A PHPK1558881 09/30/2016 09/30/2017 COMBINED SINGLE LIMIT Ki AUTOMOBILE LIABILITY (Ea acckten0 51,000,000 BODILY INJURY I Per person) O X-ANY AUTO 2 —OWNED —SCHEDULED BODILY INJURY(Per accident) as _AUTOS ONLY AUTOS X HIRED AUTOS x NON-OWNED PROPERTY DAMAGE v ONLY _AUTOS ONLY (Per accident) _ X COMP Dert$500 X COLL Ded:51.000 A X UMBRELLALIAB X OCCUR PHUB558501 09/30/2016 09/30/2017 EACH OCCURRENCE $10,000,000 V EXCESS UAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION 510,000 WORKERS COMPENSATION AND I SPTER I 212 EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NI) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT — A E&O-PL-Primary PHPK1558881 09/30/2016 09/30/2017 Each Incident Limit $1,000,000 Claims Made Aggregate Limit S3,000,000a"iTi DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) City of Everett is included as Additional Insured in accordance with the policy provisions of the General Liability policy. a -s Illee E 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 AUTHORIZED REPRESENTATIVE N 2930 Wetmore Ave., Suite 8A Everett WA 98201 USA . all"d ef, �:aviELS4 We W _ III 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD