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CHINO -1 OP ID: PC CERTIFICATE OF LIABILITY INSURANCE DA05/02/2016Y) 05/0212016 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 C ACT Michael J Miller Griffith/Rush Drake Insurance 1 - PO Box 27167 p No. Exa. 206.632-14336-365-0699 ... 12354 Lake Ci Way NEAR Seattle, WA 9825 AD Michael J Miller INSURERISI AFFORDING COVERAGE NAIC s INSURER A: Mesa Underwriters Specialty INSURED Chinook Entertainment, LLC INSURER B: NAIC #36838 PO Box 309 — ------- . . Naches, WA 98937 INSURER C: INSURER 0: INSURER E: – INSURER F: li COVERAGES CERTIFIrATF NUM13ER' RFViCION Ni11MR1=R. 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. ILS TYPE OF INSURANCE DDL$LIBR FOLICY A III'-- i"P ji POLICY NUMBER IMMrDD/YYYY1 .IMMlDDIYY� LIMITS A X COMMERCIAL GENERAL LIABILITY OCCURRENCE $ 2,000,04 CLAIMS -MADE occuR ;IMP0002007000367 04/18/2016' 04/18/2017 _EACH _ DAMAGE=T0 R9NTED PREMISES ICa acraurronca� __ _ - $ 100,00 MED EXP (Any one person) $ 5,00 i PERSONAL & ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 3,00_0,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY U PRO. n LOC JECT $ V Include - PRODUCTS - COMP/OP AGG OTNER $ AUTOMOBILE LIABILITYIFI $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accldenl) $ HIRED AUTOS NON -OWNED AUTOS ` PROPERTY DAMAGE _iPer aCn�deq $ $ 3 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE —.. —........... ........ .— $ EXCESS LIAB CLAIMS -MADE $ _ p.p DE1 D I RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F7 IN / A - STATUTE OR - —ANY E.L. EACH ACCIDENT $ $ ................... (Mandatory in NH) EL. DISEASE - EA EMPLOYEE, If yes, describe under DESCRIPTION OF OPERATIONS below E.L, DISEASE - POLICY LIMIT jj $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) Kittitas County, its elected officials, Officers, agents, employees, and volunteers are named as additional insured as pertains to the work and services performed by the named insured. LCIS 1 II A A I L' rLLJI_LIt_K 6ANLoCLLA I IUIN KITTI-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Kittitas County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. 205 W. 5th Avenue Ellensburg, WA 98926-2887 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD