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AC61?6' CERTIFICATE OF LIABILITY INSURANCE01 <br />DATE IM18 MIDDIYYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s), <br />PRODUCER <br />CCC' TN. CT Christopher D. Astorga <br />Daniels Head Insurance Agency, Inc, <br />P.O. Box 1604 <br />PH Ne.,0,(800) 848-7160 �1FA r,,�: (877) 368-5786 <br />I- - <br />ADDARESS• chrls@dhin.com <br />INSURER(S) AFFORDING COVERAGE NAIC 0 <br />Palm Springs, CA 92263-1604 <br />INSURER A : American Guarantee & Liability Insurance Company <br />13E L AGGREGATE LIMIT APPLIES PER: <br />INSURER B: <br />INSURED <br />C.K. POWERS, P.S. <br />707 North Pearl Street <br />Suite A <br />Ellensburg, WA 98926 <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F <br />COVERAGES CERTIFICATE NUMFIER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY <br />THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ISRTYPE OF INSURANCE t]L SUt3rt <br />POUCYNUMBER <br />OL1Cyy EFF P07..ICY E1SP <br />DIYY MlDD LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />CLAIMS -MADE OCCUR <br />PR£ E §1 Escurreniu�_ $ <br />MED EXP (AnUne persa $ <br />PERSONAL & ADV INJURY $ _ <br />y <br />13E L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />POLICY ELI jpGr FE LOC <br />PRODUCTS - COMP/OP AGG S <br />OTHER: <br />$ <br />AUTOMOBILE <br />LIABILITYCOMBINED <br />SINGLE1 <br />ac <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED_. SCHEDULED <br />AUTOS AU r0:i <br />BODILY INJURY (Per accident) <br />$ <br />HIREDAUTOS AUTOSWNED <br />$ <br />flPo AAcdODWTY MAGE <br />$ <br />UMBRELLA LIAR <br />�_JOCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />EXCESS LIAB <br />CLAIMS -MADE <br />$ <br />DED I I RETENTIOJ4$ <br />$ <br />WORKERS COMPENSATION <br />PER OTH. <br />AND EMPLOYERS' LIABILITYYIN <br />ffATVTE E <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIErORIPARTNERIEXCOUTIVE <br />Or-'FICERIMEMnER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE -EA EMPLOYE <br />$ <br />(MandotoryinNH) <br />II yysa dasariW under <br />I) RIP r ON OF OPERATIONS ba ow <br />EL. DISEASE - POLICY LIMIT 1$ <br />Sach Claim $ 1,000,000 <br />Lawyers Professional Liability Insurance Policy LPL 3692458-15 <br />6/26/2017 6/25/2018 kggregate $ 3,000,000 <br />,A <br />)eductible $ 1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) <br />CERTIFICATE HOLDER CANCELLATION <br />Kittitas County Superior Court <br />205 W. 5th Ave., Suite 207 <br />Ellensburg WA 98926 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD <br />