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Battle of the Bands - Dept. Head Feedback
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06. June
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2017-06-06 10:00 AM - Commissioners' Agenda
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Battle of the Bands - Dept. Head Feedback
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Last modified
1/16/2018 2:46:00 PM
Creation date
1/16/2018 11:55:13 AM
Metadata
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Template:
Meeting
Date
6/6/2017
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
b
Item
Request to Approve 3 Concerts for the Swiftwater Summer Concert Series: Battle of the Tribute Bands July 2nd 2017 / Super Diamond Neal Diamond Tribute August 18th, 2017 / Kings of Country September 8th, 2017
Order
2
Placement
Consent Agenda
Row ID
37121
Type
Special Event Application
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SWIFCEL-01 CMOORE <br />'4�►�0- <br />DATE (MMDD/VYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />8115/2016 <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 policy(ies) 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 COHTA <br />NAME! _ <br />Richland Office P TA <br />Pa newest Insurance, Inc. �, ']n ,l�q}I(N9) 946-6161 �i ($86 215-4862 <br />390 Bradleyy Bivd, ADDRESS <br />Richland, INA 99352 <br />INSURER(S) AFFORDING COVERAGE NAIC 9 <br />INSURER A: Allied World Specialty Insurance Company <br />INSURED <br />Swiftwater Cellars, LLC <br />PO Box 492 <br />Roslyn, WA 98941 <br />INSURER B: <br />INSURER D: <br />INSURER E: <br />COVERAGES CERTIFICATE NUMBER: 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 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 />iN&R- POLICY EFF OOLFC91X <br />117 REL TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY mmmo1YYYY LIMITS <br />A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,0 <br />I CLAIMS -MADE rX OCCUR X 15115007903 07/0712016 0710712017 G $ 1,000,0 <br />ET <br />)C Liquor <br />X WA or GaSt <br />MED EXP/Anyoneperson) $ 10,0 <br />p P PERSONAL& ADV INJURY S 1_ene_n <br />G_EN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ] PRO -u LOC <br />JECT u <br />AUTOMOBILE LIABILITY <br />A X ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS I -TI <br />AUTOS <br />XHIRED AUTOS NON -OWNED <br />AUTOS <br />X UMBRELLA LIAR X OCCUR <br />A EXCESS LIAB � CLAIMS -MADE, <br />nen I X I Dr:sc:.,ry ..e Qi <br />WORKERS COMPENSATION I PER E7, E <br />Ulm - <br />AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? N/A <br />E.L. EACH ACCIDENT $ <br />(Myandatory In NH) E.L. DISEASE - EA EMPLOYE S <br />descrIbe <br />_DESCRIPTION OF OunderPERATIONS below .. E.L. DISEASE - POLICY LIMI7 S <br />I —.--I I_ I 1 I <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />e: All Events, Kittitas County Is added as additional insured <br />CERTIFICATE HOLDER <br />Klttltas County <br />205 W 5th Ave <br />Ellensburg, WA 98926 <br />ACORD 25 (2014101) <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 REPRESENTATIVE <br />etw mm� <br />01988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />07/0712016 <br />GENERAL AGGREGATE $ <br />PRODUCTS-COMP/OPAGG S <br />S <br />16007903 <br />07107/2017 <br />E nCbvn Sl LIMIT $ <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />pater KRTY DAMAGE S <br />17007903 <br />07/0712016 <br />0710712017 <br />EACH OCCURRENCE S <br />AGGREGATE $ <br />WORKERS COMPENSATION I PER E7, E <br />Ulm - <br />AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? N/A <br />E.L. EACH ACCIDENT $ <br />(Myandatory In NH) E.L. DISEASE - EA EMPLOYE S <br />descrIbe <br />_DESCRIPTION OF OunderPERATIONS below .. E.L. DISEASE - POLICY LIMI7 S <br />I —.--I I_ I 1 I <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />e: All Events, Kittitas County Is added as additional insured <br />CERTIFICATE HOLDER <br />Klttltas County <br />205 W 5th Ave <br />Ellensburg, WA 98926 <br />ACORD 25 (2014101) <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 REPRESENTATIVE <br />etw mm� <br />01988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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