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Bernadette Matson AlliantComm <br />(13/13) 03/02/2016 09:26:29 AM -0800 <br />CERTIFICATE OF LIABILITY INSURANCE D 02/11/201 YY{ <br />02!11!2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. nIIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIFS <br />BELOW. THIS CERTIFICATE OF INSURANCE ROES NOT CONSTITUTE A CONTRACT t3ETWEFN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if the eertiilcate holder Is an ADDITIONAL INSURED, the pollcy(ies) must las endorsed. if SUBROGATION IS WAIVED, subject to the <br />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 endarsemant(sj, <br />PRODUCER BRUCE SEARS - STATE FARM <br />A_ +L _ hrletlna RIoxI <br />PO BOX 669 PPIOa ..09 64� Frcjl Shc!-6fl_fl3aa _ <br />QSELAH, WA 98943 _agogE 10L-- <br />INSURED CRIME STOPPERS OF YAKIMA COUNTY INC <br />PO BOX 11056 <br />YAKIMA,WA 98909 <br />NAIC 11 <br />INSUR59 F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER. <br />THIS IS TO CERTIFY T IIAT THE POLICIES OF INSURANCE LISTED BELOYS1 HAVE BEEN iSSUPD TO THE ENSURED NAMED ABOVE FOR THE POLICY PJ:R10D <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH 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 />!•FR TYPE OF INSURANCE P .ICYkUMFIER ���WMIMi-Y {Pj r£x V{ g <br />A G6616RALliHeILnY IF- PS0000003159006 04114/2014 04114/2017 6ACHoccvReE-NCE Is Sona 000 <br />VIMCIALGENERAL LIABILITY I�MEDrEXP <br />CLAIMS -MADE ((X OCCUR <br />UMITAPPLIES PER: <br />AUTOMOBILE LIABILITY aFAI14 n <br />13 SINGLE Liu— <br />ANY AUTO BODILY INJURY (Per person) <br />ALL OWNED SCHEDULED <br />AUTOS _ AUTOS BODILY INJURY (Per acclden <br />NON "MED t T+cRTV—OQA <br />1HIRER AUTOS AUTOS <br />UMBRELLA LIAB l OCCUR <br />�- <br />— <br />EACH Q? URRENCV <br />EXCESS. UAB r:lA�rhS•MAOr <br />.._ <br />171:❑ <br />AflC3RE.(v1T&` <br />-----____. <br />11FI <br />1'itYC_kTl(]NS <br />10MMRS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />, )e <br />E,L, EACH ACCIDENT <br />OFFICE/MEMBER EXCLUDED? EJ <br />N l A <br />IfKnn, drory in NN) <br />If yes, escwihu Vrtdar <br />EL. DW -ASS - Eh EMPLONt <br />E L DMEASE. PCJi.ICY L{lyT <br />D&ECIUPTION UE 6PLRA IICL'a ,q' <br />..�... <br />DESCRIPTION OFOPERAMONS a LOCATIONS VEHICLES (ANach ACORD 101, AddWona(Remarks Schedule, Nmore space Is required) <br />ADDITIONAL INSURED - CERTIFICATE HOLDER <br />WASHINGTON STATE PATROL <br />DEPT OF TRANSPORTATION <br />BUREAU OF LAND MANAGEMENT <br />US GOVERNMENT AND YAKIMA COUNTY <br />KITTITAS COUNTY <br />CERTIFICATE HOLDER <br />KITTITAS COUNTY <br />205 WEST 5TH, STE'108 <br />ELLENSBURG, WA 98926 <br />YOUR CANYON FOR A DAY RIDE - MAY 22, 2016 <br />TION <br />S 5o,o0e <br />i <br />t z.00a,Uno <br />5 <br />S <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />n REPRESENTATIVE <br />01988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 <br />