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The certificate holder is an additional insured as per form ECG20600: Additional Insured - Automatic Status When Required in a Written Agreement. The General Liability policy is primary as per Form CG0001. The General Liability policy contains a Waiver of Subrogation provision as required by written agreement per Form ECG24522. CERTIFICATE HOLDER: Kitittas County, It's Officers, Officials, Employees 205 W 51h Ave Ellensburg WA 98926 NOTICE OF CANCELLATION: 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: DATE' 2/29/201t(• CERTIFICATE OF INSURANCE CERTIFICATE NUMBER: 20160121399055 AGENCY: .... . ........ ESIX 3 LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND d/b/a Entertainment & Sports Insurance eXperts (ESIX) CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES d/b/a Entertainment and Sports Insurance Agency (California) NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 2727 Paces Ferry Road, Building Two, Suite 1500 BELOW. Atlanta, GA 30339 678-324-3300 (Telephone) 678-324-3303 (Facsimile) NAMED INSURED: INSURERS AFFORDING COVERAGE: USA Triathlon of Colorado DEANNA MULLER INSURER A: Everest National Insurance Company 5825 Delmonico Drive Colorado Springs CO 80919-2401 INSURER B: Everest National Insurance Company E11EHT'PKFQRMATION: — — Ellensburg Triathlon (Olympic and Sprint) (7/23/2016 - 7/23/2016) POLICY/COVERAGE INFORMATION: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THL 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. :INS TYPE OF INSURANCE: -POLICY NUMBER(S):: EFFECTIVE: EXPIRES: LIMITS: A GENERAL LIABILITY X Occurrence rSIBML00212-151 12/1/2015 12/1/2016 GENERAL AGGREGATE (Applies Per Event) $2,000.000 12:01 AM 12:01 AM X Paidielpant Legal Uahalay EACH OCCURRENCE $ I,tt00,WDt) DAMAGE TO RENTED PREMISES (Each Occ.) $1,000;000 MEDICAL EXPENSE (Any one person) EXCLUDED PERSONAL & ADV INJURY $1,000,000 PRODUCTS-COMP/OP AGG $2,000,000 B UMBRELLA/EXCESS LIABILITY i X Occurrence S18EX00179-151 12/112015 12/1/2016 EACH OCCURRENCE $1811 fI0,t111i1 12:01 AM 12:01 AM AGGREGATE (Applies Per Event) SI0,60000 AGGREGATE (Policy) 540,004.000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: Coverage applies to the USA Triathlon sanctioned or approved event specified on this certificate. The certificate holder is an additional insured as per form ECG20600: Additional Insured - Automatic Status When Required in a Written Agreement. The General Liability policy is primary as per Form CG0001. The General Liability policy contains a Waiver of Subrogation provision as required by written agreement per Form ECG24522. CERTIFICATE HOLDER: Kitittas County, It's Officers, Officials, Employees 205 W 51h Ave Ellensburg WA 98926 NOTICE OF CANCELLATION: 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: