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ACC)REP® CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE 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 Marsh USA Inc.(Philadelphia) NAME_ 1717 Arch Street ( / .PHONE,Exu: FAX No): _ Philadelphia,PA 19103 E-MAIL 215.246.1000fax215.246.1399 ADDRESS:_ Attn:Redcross.certrequest@marsh.com __ - INSURER(S)AFFORDING COVERAGE__. NAIC# CN102834971-ALL-CAS-18-19 INSURER A:Old Republic Insurance Company - 24147 INSURED INSURER B: SNOHOMISH COUNTY CHAPTER AMERICAN NATIONAL RED CROSS INSURER C: 2530 LOMBARD AVENUE EVERETT,WA 98201 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-006437604-02 REVISION NUMBER: 4 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE _ INSD WVD POLICY NUMBER .f MM/DD/YYYY) tMM/DD/YYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY MWZZ 313806 07/01/2018 07/01/2019 EACH OCCURRENCE $ 5,000,000 DAMAGE RETED X CLAIMS-MADE OCCUR PREM SESO(Ea occurrence) $ 5,000,000 X SIR$100,000 _MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 5,000,000 GE 'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 5,000,000 X POLICY PE� LOC PRODUCTS-COMP/OP AGG $ INCLUDED OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _ffia accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE _AGGREGATE _$ DED '] RETENTION$ $ WORKERS COMPENSATIONPER OTH- AND EMPLOYERS'LIABILITY Y/N -__�STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E .EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:THE AMERICAN RED CROSS DISASTER SERVICES FOR DIRECT CLIENT ASSISTANCE TO THE CITY OF EVERETT RESIDENTS THROUGHOUT THE POLICY PERIOD,7/1/2018-7/1/2019. CITY OF EVERETT,ITS OFFICERS,EMPLOYEES AND AGENTS ARE INCLUDED AS ADDITIONAL INSURED WITH REGARDS TO COMMERCIAL GENERAL LIABILITY COVERAGE WHERE REQUIRED BY CONTRACT. CERTIFICATE HOLDER CANCELLATION CITY OF EVERETT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN:KEMBRA LANDRY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2930 WETMORE AVE,SUITE 8 ACCORDANCE WITH THE POLICY PROVISIONS. EVERETT,WA 98201 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee r�r.a oma►, .- -c. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD