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Home My WebLink AboutCAG2021-108 - Insurance Certificate - Kent Youth and Family Services - Non Profit Insurance Program Certificate of Coverage - 06/01/2022Non Profit lnsurance Program Certificate of Coverage THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER' NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT BETWEEN THE tSSUtNG TNSURER(S), AUTHORTZED REPRESENTATTVE OR PRODUCER, AND THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES CONSTITUE A CONTRACT PRODUCER COI'PANIES AFFORDING COVERAGE Clear Risk Solutions 451 Diamond Drive Ephrata, WA 98823 GENERAL LIABILITY American Alternative lnsurance Corporation, et al. AUTOMOBILE LIABILITY American Alternative lnsurance Corporation, et al. PROPERTY American Alternative lnsurance Corporation, et al. MISCELLANEOUS PROFESSIONAL LIABILITY Princeton Excess and Surplus Lines lnsurance Company INSURED Kent Youth and Family Services 232 South Second Avenue #201 Kent, WA 98032 GOVERAGES IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SUBROGRATION lS 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). THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CONTRACT OR CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES INSURED NAMED ABOVE FOR THE COVERAGE PERIOD OTHER DOCUMENT WITH RESPECT TO WHICH THIS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIMTION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE City of Kent 220 4th Ave S Kent, WA 98032 TYPE OF INSURANCE POLICY NUMBER POLICY EFF DATE POLICY EXP DATE DESCRIPTION LIMITS GENERAL LIABILITY tLtw N1 -A2-RL-000001 3-3 61112023 PER OCCURRENCE FORM INCLUDES STOP GAP PER MEMBER AGGREGATE PRODUCT-COMP/OP PERSONAL & ADV. INJURY ANNUAL POOL AGGREGATE $10,000,000 $5,000,000 $5,000,000 $50,000,000Ltry IS SUBJECT TO A $25O,OOO SIR PAYABLE FROM PROGMM FUNDS) AUTOMOBILE LIABILITY N1-A2-RL-00000 61112022 61112023 LIMIT (LIABILITY IS SUBJECT TO A $25O,OOO SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE NONE PROPERTY 3-1 3 ALL RISK PER OCC (PROPERry IS SUBJECT TO A $25O,OOO SIR PAYABLE FROM PROGRAM FUNDS) EARTHQUAKE PER OCC FLOOD PER OCC ANNIJAL POOL AGGREGATE Excluded $1,000,000 NONE MISCELLANEOUS PROFESSIONAL N1-A3-RL-0000060-1 3 6t1t2023 PER CLATM $5,000,000 IS SUBJECT TO A SIR PAYABLE PROGRAM DESCRIPTION OF OPERATIONS ' LOCATIONS ' VEHICLES / SPECIAL ITEMS Regarding funding received. The City of Kent, its elected, and appointed officials are named as Additionallnsured regarding lhis funding only and are subject to policy terms, conditions, and exclusions. Additionallnsured endorsement is attached. AMERICAN ALTERNATIVE INSURANCE COMPANY ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION (GENERAL LIABILITY) THIS ENDORSEMENT CHANGES THE POLIGY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: GENERAL LIABILITY 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 lnsured): As Per Schedule on file with Clear Risk Solutions, Undenivriting Adminishator City of Kent 220 4th Ave S Kent, WA 98032 Regarding funding received. The City of Kent, its elected, and appointed officials are named as Additionallnsured reglrdinglhis tunding only and are subject to policy terms, conditions, and exclusions. Additionallnsured endorsement is attached. A. With respects to the General Liability Coverage Part only, the definition of lnsured in the Liability Conditions, Definitions and Exclusions section of this policy is amended to include as an tnsured the Person or Organization shown in the above Schedule. Such Person or OrganizationisanlnsuredonlywithrespecttoliabilityforBodilylnjury,PropertyDamage,or Personal andAdvertisinglnjury caused in whole or in part by your acts or omissions orthe acts or omissions of those acting on your behalf: 1. In performance of your ongoing operations; or 2. ln connection with your premises owned or rented to you. B. The Limits of lnsurance applicable to the additional lnsured are those specified in either the: 1. Written contract or written agreement; or 2. Declarations for this policy, whichever is less. These Limits of lnsurance are inclusive and not in addition to the Limits Of lnsurance shown in the Declarations' All other terms and conditions remain unchanged. Named lnsured Non Profit lnsurance Program (NPIP) Policy Number N1-A2-RL-0000013-13 Endorsement Effective 6t112022 lncludes copyrighted material of the lnsurance Services Office, lnc., with its permission