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<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONYERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES
<br /> NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUE A CONTRACT
<br /> BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTAT IVE OR PRODUCER,AND THE CERT IFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGRATION IS WAIVED,subject to the terms and conditions of
<br /> the policy,certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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<br /> GENERAL LIABILITY
<br /> Clear Risk Solutions American Alternative Insurance Corporation,et al.
<br /> 451 Diamond Drive
<br /> Ephrata, WA 98823 AUTOMOBILE LIABILITY
<br /> American Alternative Insurance Corporation,et al.
<br /> daifiP' ., .-, , -.. -,:*::177:77:—..:,.:7'' 1: _- x r -. PROPERTY
<br /> Everett Recovery Cafe American Alternative Insurance Corporation,et al.
<br /> 2212 Broadway MISCELLANEOUS PROFESSIONAL LIABILITY
<br /> Everett, WA 98201 Princeton Excess and Surplus Lines Insurance Company
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<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD
<br /> INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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.
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<br /> COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-08 06/01/2017 06/01/2018PER OCCURRENCE $5,000,000
<br /> OCCURRENCE FORM PER MEMBER AGGREGATE $10,000,000
<br /> INCLUDES STOP GAP PRODUCT-CO MP/OP $5,000,000
<br /> PERSONAL&ADV.INJURY $5,000,000
<br /> (LIABILITY IS SUBJECT TO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $50,000,000
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<br /> ANY AUTO N1-A2-RL-0000013-08 06/01/2017 06/01/2018 COMBINED SINGLE LIMIT $5,000,000
<br /> LIABILITY IS SUBJECT TO A$50 000 SIR PAYABLE FROM PROGRAM FUNDS ANNUAL POOL AGGREGATE NONE
<br /> N1-A2-RL-0000013-08 06/01/2017 06/01/2018 ALL RISK PER OCC EXCL EQ&FL $75,000,000
<br /> EARTHQUAKE PER OCC EXCLUDED
<br /> FLOOD PER OCC EXCLUDED
<br /> PROPERTY IS SUBJECT TOA$50,000 SIR PAYABLE FROM PROGRAM FUNDS ANNUAL POOL AGGREGATE NONE
<br /> _ • i 3 il, AL LIABILITY » - , es r r,. ,, ,_ _._ 6 a a
<br /> N1-A2-RL-0000013-08 06/01/2017 06/01/2018 PER CLAIM EXCLUDED
<br /> LIABILITY IS SUBJECT TO A $50 000 SIR PAYABLE FROM PROGRAM FUNDS ANNUAL POOL AGGREGATE $40,000,000
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<br /> Regarding grant.City of Everett,its officers,employees and agents are named as Additional Insureds regarding this grant
<br /> only and are subject to policy terms,conditions and exclusions.Additional Insured endorsement is attached.
<br /> CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE
<br /> WITH THE POLI CY PROVISIONS.
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<br /> CERTIFICATE HOLDER IORIZED RErPpp, ,
<br /> Dept of Planning and Community Development 1. ilid {1IN31----
<br /> City of Everett
<br /> 2930 Wetmore Ave, Ste 8A
<br /> Everett,WA 98201
<br /> 3349614
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