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1 ;9 r:[7►,C►Pa CERTIFICATE OF LIABILITY INSURANCE DAT/ ��- 055/01/01/22015015 Y) 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(ies) 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 I For Service Call: M,NQfAg;_54 7.7�Ii4........ FAX N,} 5035'r `id4 Gales Creek Insurance Services a division of JD Fulwiler E-IAIUL .. AI1DiiES_C1lil`�OII:t3CiP.9}:.COf)1 .- 5727 SW Macadam Ave INSURER(S) AFFORDING COVERAGE NAIC# Portland, OR, 97239 INSURER A: Starr Indemnity & Liability Company INSURED f Energy Events --- 10804 NW Oxbow Ridge Court INSURERC: NS Vancouver, WA 98685 IURER D_: INSURER E - CAVFRAr FC CFRTIFICATF NIIMRFR• REVISION NIIMRFR- 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. 114SR Asoak! J POLICY&F POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER I wo MIODly YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 000,000.00 •X COMMERCIAL GENERAL LIABILITY9D A CLAIMS -MADE X OCCUR X F F P'f G OTti D e FMIRFR___.1.€��:.........i....._�........0,400.00 MED EXP (Any oneperson) $ 30 0 0 . $ Excluded_ PERSONAL &ADV INJURY 1000107027 05/01/2015 05/01/2016 $ 1,000000,00 GENERAL AGGREGATE ................. _......... $ 2,000,000.00 PRODUCTS - COMP/OP AGG $ 2,0pp,.pp0,00. GEN'L AGGREGATE LIMITAPPLWS PER: $ X PCaL1CY :R0- LOC AUTOMOBILE LIABILITYIFjr 1� Jl'L I a ";no"t) IJ LE S 110001000.00 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 1000107027 05/01/2015 05/01/2015 BODILY INJURY (Per accident) $ AMA Qr accident $ A X_ HIRED AUTOS X NON -OWNED AUTOS $ UMBRELLA LIABOCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE 111 ,—.. DED RETENTION S ........ .... .. S I• WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANYPROPRIETOR/PARTNER/EXECUTIVE ATU- OTH- -ER- RANY E.L. EACH ACCIDENT S OFFICE/MEMBER EXCLUDED? ❑ N / A S (Mandatory in NH) E.L DISEASE - EA EMPLOYE S If yes, describe under FC .RIPTI (1F f1P R4TIr1 n w E L DISEASE - POLICY LIMIT A LIQUOR LIABILITY Fx—, F-1 1000107027 05/0112015 05/01/2015 Each Common Cause: $1,000,000.00General Aggregate: $1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS OF THE NAMED INSURED DURING THE POLICY PERIOD REQUIRED BY A WRITTEN CONTRACT. GEKTIFIGA 1 t HULUI-K Kittatas County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 205 West 5th THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ellensburg, WA Ave.,e., AUTHORIZED REPRESENTATIVE BrigittWhitescarver��`'�� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD