Interfaith Association of Northwest Washingto 11/13/2018

INTEASS-02 ZSMITH AC-ORO DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/30/2018 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Zoe Smith WAFD Insurance Group,Inc. ;aAACMmEcNo,Ext):(360)629-2103 FAx Thomas and Associates (FAX Ne):(360)629-9702 PO Box 457 ADDIL SS:zoe@thomasins.com Stanwood,WA 98292 INSURERIS)AFFORDING COVERAGE NAIL# INSURER A:Philadelphia Indemnity Insurance Company INSURED INSURER B: Interfaith Association of Northwest Washington INSURERC: PO Box 12824 INSURER D: Everett,WA 98206 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 NTED CLAIMS-MADE X OCCUR X PHPK1848462 08/22/2018 08/22/2019 PREMISES IEaEoccurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $ 2,000,000 X POLICY Fp,: LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: COMBIN $ A AUTOMOBILE LIABILITY Ea accideDj INGLE LIMIT $ 1,000,000 ANY AUTO PHPK1848462 08/22/2018 08/22/2019 BODILY INJURY(Per person) $ O OS ONLY SCHEDULEDWNED UTOS A BODILY� INJURY(Per accident) $ X AUTOS ONLY X AUUTOS ONLY (Perr acciident)AMAGE UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION STATUTEPER ETH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ (FFICER/MEMBER EXCLUDED? Mandatory n NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A D&O PHSD1286033 10/20/2017 10/20/2018 Ea Policy Period 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Everett,its officers,elected officials,agents and employees are additional insureds per the CG 20 26 0413 endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Everett Dept.of Planning and Community Develop. 2930 Wetmore Ave,Suite 8A Everett,WA 98201 AUTHORIZED REPRESENTATIVE aeccdf I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD