First Presbyterian Church 7/19/2019

l ® DATE(MM/DDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE f`----- 05/10/2019 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 CONTNAME:ACT Tammy Huskisson American Church Group of Washington LLC fa/c No.Ext): (877)224-9255 lac,No):(877)315-8574 8316 E Mill Plain Blvd E-MAILADDRESS: THuskisson@AmericanChurchGroup.com Vancouver,WA 98664 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Brotherhood Mutual INSURED INSURER B: The First Presbyterian Church of Everett INSURER C: 2936 Rockefeller Ave INSURER D: Everett,WA 98201 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-52305 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 ADDLTYPE OF INSURANCE BrED SU RD POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DDIYYYY) (MMIDDlYYYY) A X COMMERCIAL GENERAL LIABILITY Y 46M5A0471845 01/01/2019 01/01/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE RENTE CLAIMS-MADE X OCCUR PREM SESO(Ea occurrence) $ 300,000 MED EXP(Any one person) $ 101 000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY L_ I jRa I_ J LOC PRODUCTS-COMP/OPAGG $ 3,000,000_ OTHER: AUTOMOBILE LIABILITY I A 46M5A0471845 01/01/2019 01/01/2020 (EaCOMBINEDaccdent)SNGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) Physical Damage $ 60000 A UMBRELLA LIAB X OCCUR 46M5A0471845 01/01/2019 01/01/2020 EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN , STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Human Needs Grant City of Everett,Community Development Division is Additional Insured as per BGL150(4.1)Endorsement and subject to all the terms and conditions of the policy. 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 Community Development Division ACCORDANCE WITH THE POLICY PROVISIONS. 2690 Wetmore Ave Everett,WA 98201 AUTHORRIIZ�ED REP SENTATIVE (TON) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by TOH on May 10,2019 at 12:26PM