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SH18-009 FCI 2018 - PSA and Insurance Docs
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04. April
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2018-04-03 10:00 AM - Commissioners' Agenda
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SH18-009 FCI 2018 - PSA and Insurance Docs
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Last modified
4/9/2018 9:01:07 AM
Creation date
4/9/2018 8:58:59 AM
Metadata
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Template:
Meeting
Date
4/3/2018
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
h
Item
Request to Approve an Amendment to the Professional Services Agreement between Kittitas County and FCI Custom Cars
Order
8
Placement
Consent Agenda
Row ID
43585
Type
Resolution
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Item 1. Business Description: DEALER. <br />Form of Business: 01Corporation 'EjLim itedLiability Gompany Elndividual ❑Partnership <br />El Other: <br />Item 2. Schedule of Coverage's-and,.Covere.d Autos <br />This policy provides only those coverages where a charge and limit, if applicable, are shown In the premium columns be- <br />low, Each of the "auto" -related coverages will apply only to those "autos" shown as covered "autos." "Autos" are shown as <br />covered "autos" for the applicable coverages by the entry of one ' or` more of the symbols from Section 1 - Covered Autos <br />Coverages of. the Auto Dealers,Coverage Form next to.the "auto" -related coverage. <br />Coverages <br />Covered Autos <br />Limit <br />Premium <br />Covered Autos Liability 22, 29 <br />$ 1, 000, 000 Each Accident <br />..:........... . .. <br />General Liability Bodily Injury And Property Damage <br />...... <br />$ <br />Liabilit��µ�� <br />1, 000 Doo Each Accident, <br />Damages To Premises Rented To YouWw <br />$ Any One Premises <br />$ 2, 921. <br />Personal And Advertising Injury Liability <br />$ Any One Person Or <br />Organization.._ <br />$ 2;000 000 General Liability Aggregate. <br />$ 2,0oo,00p Products `AndVvorkYou <br />Performed Aggregate <br />Locations and Operations Med. cal,Payments <br />$ 5, 0.0 o, Any One Person. .. ..... <br />$ G 9 <br />Acts, Errors Or Omissions Liability <br />$ Aggregate limit subject to a <br />$ <br />- <br />$ Deductible for each claim <br />Personal Injury Protection (P,I,P.) <br />Separately stated in each P.I.P. endorsement, <br />(or equivalent No-fault coverage) <br />minus any Deductible shown therein or sched- <br />$ <br />uled elsewhere in the policy. <br />Added P,I.P,(or equivalent added <br />_ <br />Separately stated in each added P.I,P. <br />No-fault coverage) <br />endorsement, _. <br />$ <br />Auto Medical Payments <br />22,29 <br />$ 5 000 Each Insured <br />$ " ` 170, <br />Medical Expense and Income Loss <br />Separately stated in the Medical Expense and <br />$ <br />Benefits (Virginla on.ly)_ <br />Income Loss Benefits Endorsement. ._ <br />Uninsured Motorists(UM <br />_. ) _ <br />Separately stated in each,LIMendorsement...... <br />$ <br />Underinsured Motorists (UIM) <br />when not included in UM Coverage) <br />22 <br />_ <br />Separately stated in each UIM endorsement. <br />$ 400 <br />Includes copyrighted m aterlal of ISO Properties, Inc„ with its perm isslon. <br />Copyright, ISO Properties, Ino., 2009 <br />CGS -1176 (7-10) Page 1 of 2 <br />INSURED <br />RE [d Fd <br />MAR- 2 3 2018 <br />
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