HomeMy WebLinkAboutCAG2019-142 - Insurance Certificate - Society of St. Vincent de Paul Council - 06/01/2019-06/01/2020 Coverage - 06/24/2019THI S CERT IFICATE IS ISSUED AS A MATTER OF INFORMAT ION ONLY AND CONVERS NO RIGHTS UPON THE CERTI FICATE HOLDER. THI S CERTIFI CA
NOT AMEND, EXTEN D OR ALTER T HE COVERAGE AFFORDED BY THE POLICIES BELOW . THI S CERTI FICATE OF COVERAGE DOES NOT CONSTI TUE A C
BET WEEN THE I SSUING INSURER(S), AUTHOR IZED REPRESENTAT IVE OR PRODUCER, AND THE CERT IFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)
the policy,certain coverage may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
GENERAL LIABILITY
AUTOMOBILE LIABILITY
PROPERTY
MISCELLANEOUS PROFESSIONAL LIABILITY
THI S IS TO CERTIFY THAT THE POLICIES OF INSURANCE
CERTIFI CATE MAY BE ISSUED OR MAY PERTA IN.THE INSURANCE AFFORDED BY THE POLICIES
EXCLUSIONS AND CONDIT IONS OF SUCH POLICIES. LIMITS SH OW N MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COMMERCIAL GENERAL LIABILIT Y PER OCCURRENCE
OCCURRENCE FORM PER MEMBER AGGREGATE
INCLUDES STOP GAP PRODUCT-CO MP/OP
PERSONAL & ADV. INJURY
(LIABILITY IS SUBJECT TO A SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE
ANY AUTO COMBINED SINGLE LIMIT
(LIABILITY IS SUBJECT TO A SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE
ALL RISK PER OCC EXCL EQ &FL
EARTHQUAKE PER OCC
FLOOD PER OCC
(PROPERTY IS SUBJECT TO A SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE
PER CLAIM
(LIABILITY IS SUBJECT TO A SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
WITH THE POLI CY PROVISIONS.
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Non Profit Insurance Program
SociSVPCS6
06/24/2019
American Alternative Insurance Corporation, et al.
American Alternative Insurance Corporation, et al.
American Alternative Insurance Corporation, et al.
Princeton Excess and Surplus Lines Insurance Company
Clear Risk Solutions
451 Diamond Drive
Ephrata, WA 98823
Society of St. Vincent de Paul Cncl-Sea
societyofstvincent
P.O. Box 80036
Seattle, WA 98108
N1-A2-RL-0000013-09 06/01/2019 06/01/2020 $10,000,000
$10,000,000
$10,000,000
$10,000,000
$50,000,000$50,000
$10,000,000N1-A2-RL-0000013-09 06/01/2019 06/01/2020
$50,000 NONE
N1-A2-RL-0000013-09 06/01/2019 06/01/2020 $75,000,000
EXCLUDED
$1,000,000
NONE$50,000
N1-A3-RL-0000060-09 06/01/2019 06/01/2020 $10,000,000
$40,000,000$50,000
Regarding Consultant Services Agreement pertaining to Centro Rendu. City of Kent is named as Additional Insured regarding this
agreement only and is subject to policy terms, conditions, and exclusions. Additional Insured endorsement is attached. NPIP is
primary and non-contributory.
City of Kent
220 Fourth Avenue South
Kent, WA 98032
3540063
Includes copyrighted material of the Insurance Services Office,Inc., with its permission.
RL 2163 12/12 Page 1 of 1
AMERICAN ALTERNATIVE
INSURANCE COMPANY
ADDITIONAL INSURED –DESIGNATED PERSON OR ORGANIZATION
(GENERAL LIABILITY)
Named Insured
Non Profit Insurance Program (NPIP)
Policy Number Endorsement Effective
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
GENERAL LIABILIT Y COVERAGE PART
This endors ement changes the policy effective on the inception date of the policy unless another date is indicated above.
Schedule
Person or Organization (Additional Insured):As Per Schedule on file with Clear Risk Solutions, Underwriting Administrator
A.With respects to the General Liability Coverage Part only, the definition of Insured in the Liability Conditions, Definitions
and Exclusions section of this policy is amended to include as an Insured the Person or Organization shown in the above
Schedule.Such Person or Organization is an Insured only with respect to liability for Bodily Injury, Propert y Damage, or
Personal and Advertising Injury caused in whole or in part by your acts or omissions or the acts or omissions of those
acting on your behalf:
1. In performance of your ongoing operations;or
2. In connection with your premises owned or rented to you.
B.The Li mits of Insurance applicable to the additional Insured are those specified in either the:
1. Written contract or written agreement; or
2. Declarations for this policy,
whichever is less. The se Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations.
All other terms and conditions remain unchanged.
3540064
N1-A2-RL-0000013-09 6/1/2018
City of Kent
220 Fourth Avenue South
Kent, WA 98032
Regarding Consultant Services Agreement pertaining to Centro Rendu. City of Kent is named as Additional Insured regarding this
agreement only and is subject to policy terms, conditions, and exclusions. Additional Insured endorsement is attached. NPIP is
primary and non-contributory.