SH16-008 Prof. Agreement - Shuknecht's Polygraph Service

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ACORL?r CERTIFICATE OF LIABILITY INSURANCEFl/26/ `--'�� D IDDIYYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT VickiBOSer NAME: InsuranceTek, Inc. PHONE(ggg) 505-1555 FAX No: (600)521-1528 CA #OE32789 E-MAIL Info@Insurance-tek.com ADDRESS: PO BOX 70 INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:WeStern Heritage Ins Co Snohomish WA 98291-0070 INSURED Richard A. Schuknecht INSURER B: Schuknecht's P.O.F. Polygraph Service INSURER C: 413 N 2nd St -INSURER D: INSURER E: MED EXP (Any one person) $ 5,000 Yakima WA 98901 INSURER F : COVERAGES CERTIFICATE NUMBER.CL1612652615 REVISION NUMBER-- THIS UMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 7 CLAIMS -MADE I -XI OCCUR SCP0988600-371 /4/2016 /4/2017 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 X PROFESSIONAL, E&O X BLANKET ADDL INSURED GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCLUDED X POLICY E PEC�RD LOC PROFESSIONAL E&O $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED - _ -SCHEDULED- AUTOS AUTOS AUTOS _ - - - - - - - - - - - - Per accident $ - - - ( ) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Par accident UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATIONWC S- TAT -U7 -70TH - AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The certificate holder is added as additional insured when required by contract per Blanket WHI21-1124 attached i.».w 110"11 dora.vanepps@co.kittitas.w Kittitas County Dora Van Epps 205 W 5th Ave, Suite 105 Ellensburg, WA 98926 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE icki Boser/DAWSON AGUKU G5 (ZUIU/U5) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 f9MnnFi) R7 Tha Akrr1Rr1 nnma nnrl Innn nra ranicfararl mnrkc of ARr1R11