Everett Rowing Association 12/12/2018

ASR DATE(MMIDDlYYYY) CERTIFICATE OF LIABILITY INSURANCE 12/4/2016 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 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 CONTE: y ACT Wend Pierce NAM Roehrs & Company (A/C,N Ext): (610)363-7999 FAX No): (610)363-5231 736 Springdale Dr E-MAIL ADDRESS:wendypierce@roehrs.com INSURER(S)AFFORDING COVERAGE NAIC# Exton PA 19341-0100 INsuRERA:Philadelphia Indemnity Ins Co 18058 INSURED INSURER B: United States Rowing Association INSURER C: and its member organizations INSURERD: 2 Wall Street INSURER E: Princeton NJ 08540 INSURER F: 1 COVERAGES CERTIFICATE NUMBER:17-18 Master for Members 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. IEXP LTR I TYPE OF INSURANCE NSD I py o I POLICY NUMBER I(MM DDYIYYYY)I(MMIDDEFF Y/YYYY)I LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAGE A CLAIMS-MADE X OCCUR PREM SESO(EaENTED occu r nce) $ 300,000 X Watercraft Liability PBPK1745093 12/31/2017 12/31/2018 MED EXP(Any one person) 5 5,000 X Contractual Liability PERSONAL 8,ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICY PRO- JECT X LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Sexual Abuse $ • 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I$ 1,000,000 (Ea accident) A ANY AUTO BODILY INJURY(Per person) I$ ALL OWNED SCHEDULED PRPK1745093 12/31/2017 12/31/2018 BODILY INJURY(Per accident)I$ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE I$ X HIRED AUTOS AUTOS (Per accident) I I I I$ X UMBRELLA UAB X OCCUR EACH OCCURRENCE I$ 1,000,000 A EXCESS UAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTIONS 10,000 PRUB609095 12/31/2017 12/31/2018 $ WORKERS COMPENSATION I STATUTEPER OTI I ETH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Everett its officers, employees and agents are included as Additional Insured under the liability policy. Coverage is provided under this policy only for sponsored/supervised activities of the Named Insured for which a premium has been paid. This certificate is issued on behalf of US Rowing member Everett Rowing Association. See form CG2026 attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Everett THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN C/o Risk Manager, City Attorney' s Office ACCORDANCE WITH THE POLICY PROVISIONS. 2930 Wetmore Ave. , Ste. 10C Everett, WA 98201 AUTHORIZED REPRESENTATIVE �� Giles B. Roehrs/BNB 3 e � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)