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Home My WebLink AboutCAG2021-552 - Insurance Certificate - St. Stephen Housing Association - 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. 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 COMPANIES AFFORDING COVERAGEPRODUCER Clear Risk Solutions 451 Diamond Drive Ephrata, WA 98823 INSURED GENERAL LIABILITY American Alternative lnsurance Corporation, et al. AUTOMOBILE LIABILITY American Alternative lnsurance Gorporation, et al PROPERTY American Alternative lnsurance Corporation, et al. MISCELLANEOUS PROFESSIONAL LIABILITY Princeton Excess and Surplus Lines lnsuranGe Company St. Stephen Housing Association 13055 S.E. 192nd Sireet Renton, WA 98058 COVERAGES THISISToCERTIFYTHATTHEPoLIoIESoFINSURANCELISTEDBELoWHAVEBEEN INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CERTIFICAiE MAY BE ISSUED OR MAY PERTAIN. THE INSUMNCE AFFORDED BY EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS' REDUCED BY PAID CLAIMS. POLICY EFF DATE POLICY EXP DESCRIPTION DATE POLICY NUMBERTYPE OF INSURANCE LIMITS GENERAL LIABILITY PER MEMBER AGGREGATE PRODUCT.COMP/OP PERSONAL & ADV. INJURY ANNUAL POOL AGGREGATE $2,000,000 $1,000,000 $1,000,000 $50,000,000 61112022 ILITY IS SUBJECT TO A $25O,OOO SIR PAYABLE FROM PROGRAM FUNDS) N1 occuRCIAL OCCURRENCE FORM INCLUDES STOP GAP AUTOMOBILE LIABILITY (LIABILITY IS SUBJECT TO A $25O,OOO SIR PAYABLE FROM PROGRAM FUNDS) 5ANY NONEANNUAL POOL AGGREGATE COMBINED EARTHOUAKE PER OCC FLOOD PER OCC ANNUAL POOL AGGREGATE Excluded Excluded NONE EQ&FL6t1t2022N (PROPERTY IS SUBJECT TO A $25O,OOO SIR PAYABLE FROM PROGRAM FUNDS) ALL RISK MISCELLANEOUS PROFESSIONAL LIABILITY IS SUBJECT TO A FROM 6t1t2023 PER OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMSDESCRIPTION Regarding 2019-2020 CDBG Agreement. City of Kent is named as Additional lnsured regarding this agreement only and issubject to policy terms, conditions, and exclusions. Additional lnsured endorsement attached. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE CY CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE City of Kent 220 Fourth Ave South Kent, WA 98032 ///-) / -4,V2,--m- LZ"/ AMERICAN ALTERNATIVE INSURANCE COMPANY ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION (GENERAL LlABlLlrY) THIS ENDORSEMENT CHANGES THE POLICY. 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 orOrganization (Additional lnsured): As Per Schedule on file with Clear Risk Solutions, Underwriting Administrator City 220 Kent, WA 98032 Regarding 2019-2020 CDBG Agreement. City of Kent is named as Additional Insured regarding this agreement only anJ issubject to policy terms, conditions, and exclusions. Additional lnsured endorsement 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 lnsured the Person or Organization shown in the above Schedule. Such Person or Organization is an lnsured only with respect to liability for Bodily lnjury, Property Damage, or Personal and Advertising lnjury causedinwholeorinpartbyyouractsoromissionsortheactsoromissionsofthose actingonyourbehalf: 1. ln 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. of Kent Fourth Ave South Named lnsured Non Profit lnsurance Proqram (NPIP) Policy Number N1-A2-RL-000001 3-1 3 Endorsement Effective 6t1t2022 lncludes copyrighted material of the lnsurance Services Office, lnc., with its permission