HomeMy WebLinkAboutBoys and Girls Club of Benton Franklin Counties - Certificate of Liability InsuranceIssue Date 5/23/2023 Cert #:0000037811
Non Profit insurance Program
F, Certificate of Coverage
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVEYS 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 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 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).
Clear Risk Solutions
451 Diamond Drive
Ephrata, WA 98823
INSURED
Boys & Girls Club of Benton and Franklin Counties
3315 W Clearwater Ave, Suite 100B
Kennewick, WA 99336
GENERAL LIABILITY
American Alternative Insurance Corporation, et al.
AUTOMOBILE LIABILITY
American Alternative Insurance Corporation, et al.
PROPERTY
American Alternative Insurance Corporation, et al.
MISCELLANEOUS PROFESSIONAL LIABILITY
Princeton Excess and Surplus Lines Insurance Company
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 POLICY EXP
DESCRIPTION
LIMITS
DATE
DATE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-14 6/1/2023
6/1/2024
PER OCCURRENCE
$3,000,000
OCCURRENCE FORM
PER MEMBER AGGREGATE
$6,000,000
INCLUDES STOP GAP
PRODUCT-COMP/OP
$3,000,000
PERSONAL & ADV. INJURY
$3,000,000
(LIABILITY IS SUBJECT TO A $350,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
$50,000,000
AUTOMOBILE LIABILITY
ANY AUTO N1-A2-RL-0000013-14 6/1/2023
6/1/2024
COMBINED SINGLE LIMIT
$3,000,000
(LIABILITY IS SUBJECT TO A $350,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
NONE
PROPERTY
N1-A2-RL-0000013-14 6/1/2023
6/1/2024
ALL RISK PER OCC EXCL EQ & FL
$75,000,000
EARTHQUAKE PER OCC
Excluded
FLOOD PER OCC
Excluded
(PROPERTY IS SUBJECT TO A $350,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
NONE
MISCELLANEOUS PROFESSIONAL LIABILITY
N1-A3-RL-0000060-14 6/1/2023
6/1/2024
PER CLAIM
$1,000,000
(LIABILITY IS SUBJECT TO A $350,000 SIR PAYABLE FROM PROGRAM FUNDS)
ANNUAL POOL AGGREGATE
$40,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / SPECIAL ITEMS
Evidence of Coverage
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 Pasco
-
525 N 3rd Ave
n ✓ C_. (:'; 1
Pasco, WA 99301
1,., F