HomeMy WebLinkAboutCAG2019-142 - Insurance Certificate - Society of St. Vincent de Paul Council - 06/01/20206/01/2021 Coverage - 05/22/20203531900
Issue Date 5/22/2020 Cert #:0000033401
Non Profit Insurance Program
CERTIFICATE OF COVERAGE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES
NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUE 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 SUBROGRATION IS WAIVED, subject to the terms and conditions of
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).
PRODUCER COMPANIES AFFORDING COVERAGE
Clear Risk Solutions
451 Diamond Drive
Ephrata, WA 98823
GENERAL LIABILITY
American Alternative Insurance Corporation, et al.
AUTOMOBILE LIABILITY
American Alternative Insurance Corporation, et al.
INSURED PROPERTY
American Alternative Insurance Corporation, et al.
Society of St. Vincent De Paul Council,
of Seattle/King County
5950 - 4th Avenue South
Seattle, WA 98108-3208
MISCELLANEOUS PROFESSIONAL LIABILITY
Princeton Excess and Surplus Lines Insurance Company
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD
INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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.
TYPE OF INSURANCE POLICY NUMBER POLICY EFF
DATE
POLICY EXP
DATE
DESCRIPTION LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-10 6/01/2020 6/01/2021 PER OCCURRENCE $10,000,000
OCCURRENCE FORM PER MEMBER AGGREGATE $10,000,000
INCLUDES STOP GAP PRODUCT-COMP/OP $10,000,000
PERSONAL & ADV. INJURY $10,000,000
(LIABILITY IS SUBJECT TO A $100,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE $50,000,000
AUTOMOBILE LIABILITY
ANY AUTO N1-A2-RL-0000013-10 6/01/2020
(LIABILITY IS SUBJECT TO A $100,000 SIR PAYABLE FROM PROGRAM FUNDS)
6/01/2021 COMBINED SINGLE LIMIT
ANNUAL POOL AGGREGATE
$10,000,000
NONE
PROPERTY
N1-A2-RL-0000013-10 6/01/2020 6/01/2021 ALL RISK PER OCC EXCL EQ & FL $75,000,000
EARTHQUAKE PER OCC Excluded
FLOOD PER OCC $1,000,000
(PROPERTY IS SUBJECT TO A $100,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE NONE
MISCELLANEOUS PROFESSIONAL LIABILITY
N1-A3-RL-0000060-10 6/01/2020
(LIABILITY IS SUBJECT TO A $100,000 SIR PAYABLE FROM PROGRAM FUNDS)
6/01/2021 PER CLAIM
ANNUAL POOL AGGREGATE
$10,000,000
$40,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS
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.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH THE POLICY PROVISIONS.
CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE
City of Kent
220 Fourth Avenue South
Kent, WA 98032
3531900
AMERICAN ALTERNATIVE
INSURANCE COMPANY
ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION
(GENERAL LIABILITY)
Named Insured
Non Profi t Insurance Program (NPIP)
Policy Number
N1-A2-RL-0000013-10
Endorsement Effective
6/1/2020
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
This endorsement modifies insurance provided under the following:
GENERAL LIABILIT Y COVERAGE PART
This endorsement 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
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.
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, Property 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 Limits 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.
Includes copyrighted material of the Insurance Services Office, Inc., with its permission