Faith Lutheran Church 7/24/2019 - Laserfiche WebLink

Ami 0® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYY1 05/21/2019 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 CONTACT service Center NAME: GUIDEONE INS SERVICE CENTER PHONE E>tIt (800)688-3714 I( Not_ (515)257-5904 1111 Ashworth Road EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC U West Des Moines IA 50265-3542 INSURER A: GuideOne Mutual 15032 INSURED INSURER B: FAITH LUTHERAN CHURCH INSURER C: 6708 Cady Rd INSURER 0: INSURER E: Everett WA 98203 INSURER F: COVERAGES CERTIFICATE NUMBER: CL1952108897 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. NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS 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. /NSR ADD LSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSO WVD POUCY NUMBER [MMIDDIYYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCES 1.000,000 DAMAGE-1-0 RENT ED CLAIMS-MADE OCCUR PREMISES(Ea ococcurrence) S 1,ODO,DOD MED EXP(Any one person) S 10,000 A 1400712 08/28/2018 08/28/2019 PERSONAL6 ADV INJURY S 1.000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 3,000,000 �U�, PRO- II�'I 3.000,000 JECT I tLOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILE UAB(LUTY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Peraoddenq S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LIAR _ OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTION S S WORKERS COMPENSATION AHD EMPLOYERS'LUIBIUTY YIN STATUTE EERH ANY PRCPRIETORIPARTNERIEXECUTIVE - NIA EL EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ELDISEASE-EA EMPLOYEE S If yes,desabe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remark's Schedule,may be attached H more apace Is required) The insured is applying for a grant for Hot Meal Coalition from 1/1/19 to 12/31/19,to feed meals to the homeless.Proof of coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City Of Everett Its Officers,Employees&Agents ACCORDANCE WITH THE POLICY PROVISIONS. 2930 Wetmore Avenue Ste 8A AUTHORIZED REPRESENTATIVE � ; I Everett WA 98201-4044 / / t 8-2015 AC OID C•RPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered mark rof ACORD