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AMERICAN ALTERNATIVE <br /> INSURANCE COMPANY <br /> ADDITIONAL INSURED— DESIGNATED PERSON OR ORGANIZATION <br /> (GENERAL LIABILITY) <br /> Named Insured <br /> Non Profit Insurance Program (NPIP) <br /> Policy Number Endorsement Effective <br /> N1-A2-RL-0000013-08 6/1/2016 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br /> This endorsement modifies insurance provided under the following: <br /> GENERAL LIABILITY COVERAGE PART <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above. <br /> Schedule <br /> Person or Organization(Additional Insured): As Per Schedule on file with Clear Risk Solutions,Underwriting Administrator <br /> Attn: Rebecca McCrary <br /> City of Everett, Dept of Planning and Comm Devlp <br /> 2930 Wetmore Ave, Suite 8A <br /> Everett,WA 98201-4044 <br /> Regarding grant.City of Everett,its officers,employees and agents are named as Additional Insureds regarding this grant <br /> only and is subject to policy terms,conditions and exclusions.Additional Insured endorsement is attached. <br /> A. With respects to the General Liability Coverage Part only,the definition of Insured in the Liability Conditions, Definitions <br /> and Exclusions section of this policy is amended to include as an Insured the Person or Organization shown in the above <br /> Schedule, Such Person or Organization is an Insured only with respect to liability for Bodily Injury, Property Damage,or <br /> Personal and Advertising Injury caused in whole or in part by your acts or omissions or the acts or omissions of those <br /> acting on your behalf: <br /> 1. In performance of your ongoing operations;or <br /> 2. In connection with your premises owned or rented to you. <br /> B. The Limits of Insurance applicable to the additional Insured are those specified in either the: <br /> 1. Written contract or written agreement;or <br /> 2. Declarations for this policy, <br /> whichever is less.These Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations. <br /> All other terms and conditions remain unchanged. <br /> Includes copyrighted material of the Insurance Services Office,Inc.,with its permission. <br /> RL 2163 12/12 Page 1 of 1 <br /> 3369785 <br />