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INTEASS-02 ZSMITH <br /> AC. URO' DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 09/01/2017 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Zoe Smith <br /> NAME: <br /> WAFD Insurance Group,Inc. <br /> Thomas and Associates (H/C,PHONE <br /> Ext):(360)629-2103 jac,No):(360)629-9702 <br /> PO Box 457 AIL <br /> ADDRESS:Zoe@thomasins.com <br /> Stanwood,WA 98292 <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:Philadelphia Indemnity Insurance Company <br /> INSURED INSURER B: <br /> Interfaith Association of Northwest Washington INSURER C: <br /> PO Box 12824 INSURER D: <br /> Everett,WA 98206 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD (MM/DD/YYYYI (MM/DD/YYYYI <br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,000 <br /> CLAIMS-MADE X OCCURX PHPK1698422 08/22/2017 08/22/2018 DAMAGE TOEa occurreRENTED nce) $ 100,000 <br /> PREMISES( <br /> MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br /> (Ea accident) <br /> ANY AUTO PHPK1698422 08/22/2017 08/22/2018 BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY _ AUTOS BODILY INJURY(Per accident) $ <br /> X HIRED X NON-AWNED PROPERTYeDAMAGE <br /> AUTOS ONLY AUTOS ONLY ( accident) $ - <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY EACH ACCIDENT <br /> PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBEREXCLUDEDEN/A E.L. $ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Directors&Officers PHSD1177897 10/20/2016 10/20/2017 Ea Policy Period 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Everett,its officers,elected officials,agents and employees are additional insureds per the CG 20 26 0413 endorsement. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Cityof Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Everett Dept.of Planning and Community Develop. <br /> 2930 Wetmore Ave,Suite 8A <br /> Everett,WA 98201 AUTHORIZED REPRESENTATIVE <br /> I <br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />