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Home My WebLink AboutWA_2022_URBANISTS_INSURANCE_2021-57662Urbanists Collective NAME OF INSURED AND MAILING ADDRESS: Searcy Insurance Center, Inc. 15152 Oak Ranch Dr Visalia, CA 93292-9372 RENEWAL OF NUMBER: 2020-57662 POLICY NUMBER:2021-57662PRODUCER: COMMERCIAL LINES COMMON POLICY DECLARATIONS 19225 8Th Ave Ne, Ste 201-15 Poulsbo, WA 98370 POLICY PERIOD:FROM TO 04/09/202204/09/2021 AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE BUSINESS DESCRIPTION: Urban art workshops and youth programs in the Central Valley IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THESE PREMIUMS MAY BE SUBJECT TO ADJUSTMENT. PREMIUM ..............................$2,063COMMERCIAL GENERAL LIABILITY COVERAGE PART - OCCURRENCE ................................................................Not CoveredCOMMERCIAL AUTO LIABILITY COVERAGE PART ..............................................Not CoveredCOMMERCIAL AUTO PHYSICAL DAMAGE COVERAGE PART Not Covered..........................IMPROPER SEXUAL CONDUCT AND PHYSICAL ABUSE COVERAGE PART SOCIAL SERVICE PROFESSIONAL COVERAGE PART Not Covered.......................................................... COMMERCIAL LIQUOR LIABILITY COVERAGE PART TERRORISM COVERAGE (Certified Acts) TOTAL:$2,082 $19 INCLUDED .............................................................................. .......................................................... FORM(S) AND ENDORSEMENT(S) MADE A PART OF THIS POLICY AT TIME OF ISSUE:* ANI-E180 GL 01 21, ANI-E180 LL 01 21, CG 00 01 04 13, CG 00 33 04 13, CG 20 10 12 19, CG 20 11 12 19, CG 20 12 04 13, CG 20 18 04 13, CG 20 20 11 85, CG 20 21 07 98, CG 20 26 12 19, CG 20 34 12 19, CG 20 37 12 19, CG 21 09 06 15, CG 21 47 12 07, CG 21 70 01 15, CG 21 96 03 05, CG 22 44 04 13, CG 24 07 01 96, IL 00 17 11 98, IL 00 21 09 08, IL 02 70 12 19, IL 09 99 12 20, NIAC-E003 GL 08 20, NIAC-E069 GL 02 19, NIAC-E078 11 20, NIAC-E11 GL 09 19, NIAC-E120 09 19, NIAC-E123 09 19, NIAC-E15 09 20, NIAC-E180 GL 01 21, NIAC-E180 LL 01 21, NIAC-E22 09 19, NIAC-E25 12 15, NIAC-E26 11 17, NIAC-E28 01 99, NIAC-E29 12 09, NIAC-E33 GL 09 19, NIAC-E34 09 18, NIAC-E42 GL 09 19, NIAC-E5 07 15, NIAC-E56 01 17, NIAC-E59 02 12, NIAC-E60 07 12, NIAC-E61 02 19, NIAC-E70 03 19, NIAC-E72 01 17, NIAC-E74 03 14, NIAC-GL 01 80, NIAC-LL 01 80, NIAC-NPO-001 05 20, NIAC-X1 06 18, SCHEDULE G 01 80, SCHEDULE L 01 80 *OMITS APPLICABLE FORMS AND ENDORSEMENTS IF SHOWN IN SPECIFIC COVERAGE PART / COVERAGE FORM DECLARATIONS. COUNTERSIGNED: BY (AUTHORIZED REPRESENTATIVE) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. NIAC-CO 03/08/2021 Notice: This risk pooling contract is issued by a pooling arrangement authorized by California Corporations Code Section 5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of California and is not subject to regulation by the Insurance Commissioner. Insurance guaranty funds are not available to pay claims in the event the risk pool becomes insolvent. Searcy Insurance Center, Inc. 15152 Oak Ranch Dr Visalia, CA 93292-9372 2020-57662 2021-57662 RENEWAL OF NUMBER: POLICY NUMBER:PRODUCER: COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS NAME OF INSURED AND MAILING ADDRESS: Urbanists Collective .......................................................DAMAGE TO PREMISES RENTED TO YOU any one premises 19225 8Th Ave Ne, Ste 201-15 Poulsbo, WA 98370 POLICY PERIOD:04/09/2022TO04/09/2021FROM AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE Urban art workshops and youth programs in the Central ValleyBUSINESS DESCRIPTION: IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE COVERAGE AS STATED IN THIS POLICY. LIMITS OF COVERAGE: $2,000,000GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED OPERATIONS) $2,000,000..........................PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT $1,000,000.................................................PERSONAL AND ADVERTISING INJURY LIMIT $1,000,000................................................................................EACH OCCURRENCE LIMIT $500,000 any one person ADDITIONAL COVERAGES: MEDICAL EXPENSE LIMIT $20,000...................................................................................... CLASSIFICATION(S)SEE ATTACHED SUPPLEMENTAL DECLARATIONS SCHEDULE G PREMIUM FORMS AND ENDORSEMENTS APPLICABLE TO THIS POLICY ARE INCLUDED IN COMMERCIAL LINES COMMMON POLICY DECLARATIONS COUNTERSIGNED: BY (AUTHORIZED REPRESENTATIVE) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. NIAC-GL $2,063 03/08/2021 COMMERCIAL GENERAL LIABILITY EXTENSION OF DECLARATIONS POLICY NUMBER: NAME OF INSURED: 2021-57662-NPO Schedule G 1Page Urbanists Collective PREMISES CODE/CLASS *LOC PREMIUM BASIS RATE *ADVANCED PREMIUM $1,46441668/Clubs - civic, service or social - having buildings or premises owned or leased - NFP 585.7672,5001 ADDITIONAL COVERAGES Event # # of people Description Activities/Field Trips: N/A $500Art Classes/Workshops @ Various Sites1 Increased Aggregate $99 *See Common Declarations for Total Advanced Premium and Schedule 'L' for locations. COUNTERSIGNED: BY (AUTHORIZED REPRESENTATIVE)NIAC - SCHEDULE G - NPO 3/8/2021 COMMERCIAL GENERAL LIABILITY EXTENSION OF DECLARATIONS POLICY NUMBER: NAME OF INSURED: 2021-57662-NPO Schedule L Page 1 PREMISES LOC/BLDG DESIGNATED PREMISES ADDRESS, CITY, STATE, ZIP ADDITIONAL INSUREDS AND OTHER INTERESTS Urbanists Collective 300 East Oak Ave. Visalia, CA 93291 1 COUNTERSIGNED: BY (AUTHORIZED REPRESENTATIVE)NIAC - SCHEDULE L 03/08/2021 - NPO 1742 Canal St, Merced CA 95340 248 N. Sweetbriar Ave Lindsay 93247 19225 8th Ave NE, Suite 201-15 Poulsbo, WA 98370 111 S Jackson Street Seattle, WA 98104 5 City of Visalia City of Merced City of Lindsay City of Poulsbo City of Seattle City of Everette City of Tacoma City of Bremerton