YWCA of Seattle King County Snohomish County 2/7/2018

AC-"1 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/09/2017 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 t°�--.—. certificate does not confer rights to the certificate holder in lieu of such endorsement(s). .c PRODUCER CONTACT 'O NAME: Aon Risk Insurance Services West, Inc. PHONE (206) 749-4800 FAX (206) 749-4860 `- Seattle WA Office (A/C.No.Ext): (NC.No.): M1 1420 Fifth Avenue E-MAIL Suite 1200 ADDRESS: _ Seattle WA 98101-4030 USA INSURER(S)AFFORDING COVERAGE NAIC# 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: 570068896631 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 WVD POLICY NUMBER (MM/DD MM/DD/vvvr) LIMITS A X COMMERCIAL GENERAL LIABILITY PHPK1719676 09/30/2017 09/30/2018 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000 PREMISES(Ea occurrence) X Stop Gap Coverage Included MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 M GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 ap POLICY FED X LOC PRODUCTS-COMP/OPAGG $3,000,000 00 OTHER: STOP GAP Limit $1,000,000 o A PHPK1719676 09/30/2017 09/30/2018 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) Z OWNED ^SCHEDULED BODILY INJURY(Per accident) 02 AUTOS ONLY AUTOS PROPERTY DAMAGE t0 HIRED AUTOS NON-OWNED ONLY _AUTOS ONLY (Per accident) w X Comp.Ded:$500 X Coll.Ded:$1.000 t- N A I X UMBRELLALIAB X OCCUR PHUB602330 09/30/2017 09/30/2018 EACH OCCURRENCE $10,000,000 0 EXCESS LIAR CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$10,000 WORKERS COMPENSATION AND I STATUTE I ETH EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR I PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED', NIA' (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT - A E&O-PL-Primary 1 PHPK1719676 09/30/2017 09/30/2018 Each Incident Limit $1,000,000 Claims Made Aggregate Limit $1,000,000 OM Ai DESCRIPTION OF OPERATIONS I LOCATIONS/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. z- 1- CERTIFICATE HOLDER CANCELLATION ei SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4_= City of Everett AUTHORIZED REPRESENTATIVE 2930 Wetmore Ave., Suite 8A z: Everett WA 98201 USA 'Sin M - ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD