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AC -"R" CERTIFICATE OF LIABILITY INSURANCE <br />�01/12/20D 8YI <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER BRUCE SEARS - STATE FARM <br />PO BOX 669 <br />SELAH, WA 98943 <br />124Z�.lsabei Mun uia <br />a� uxt': 501)-697-A900 <br />-ADrQAESS: <br />INSURERMAFFgRDING COVERAGE NAIC# <br />INSURER A: State Farm Fire and Casualty Company5 4 <br />�JI <br />INSURERS: <br />INSURED CRIME STOPPERS OF YAKIMA COUNTY INC <br />INSURER c: <br />PO BOX 11056 <br />PRODUCTS - COMP/OP AGG SPOLICY <br />YAKIMA,WA 98909 <br />INSURER D: <br />A <br />INSI RER E ; <br />INSURERF i <br />COVERAGES <br />CERTIFICATE NUMBER: <br />REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />....... .. ...........� ' -Ubr <br />INSR POLlC1' EFY- POLICY EXP <br />LTR TYPE OF INSURANCE POLICY NUMBER ,[IL1hVDDlYYYY�� rlAVI7UlY <br />LIMITS <br />A GENERAL LIABILITY {—� PS0000003159006 04/1412014 [ 0411412018 <br />k <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />PREMISES %A o rranrn] $ 501aw <br />CLAIMS-MADEI �._`_.I OCCUR <br />MED EXP (Any one Rerson) $ <br />PERSONAL 6 ADV INJURY $ <br />....--..... — <br />1GEN�1 <br />GENERAL AGGREGATE $ 2,000,0 00 <br />'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG SPOLICY <br />PRLOC <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />Ci'JMIIINED 5INCiLE LMT <br />a m:�slw11 $ <br />X ANY AUTO <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />ALL OWNED SCHEDULED <br />I AUTOS X AUTOS <br />_I HIRED AUTOS )( NON -OWNED <br />AUTOS <br />PROPERTY A <br />aramidom $ <br />$ <br />li <br />UMBRELLA LIAB HICCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB CLAIMS.MADE <br />AGGREGATE $ <br />I DED I 1 RETENTION S <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />V41..,tERIEXCUTNE YIN <br />ANY PRoPRIETORrloE <br />WC STATUL( ],IT',- <br />ITQR.} LIMJJ.5�. ER , <br />E.L. EACH ACCIDENT $ <br />OFFICE/MEMBER EXCLUDED? <br />NIA <br />(Mandatory In NH) <br />9 <br />E.L. DISEASE - EA EMPLOYE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />If yes, describe under <br />rlFsT S b9IM <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />ADDITIONAL INSURED - CERTIFICATE HOLDER <br />WASHINGTON STATE PATROL YOUR CANYON FOR A DAY RIDE - MAY 20, 2018 <br />DEPT OF TRANSPORTATION <br />BUREAU OF LAND MANAGEMENT <br />US GOVERNMENT AND "The United States Department of the Interior-BLM is additionally insured." <br />KITTITAS COUNTY <br />KITTITAS COUNTY <br />205 WEST 5TH, STE 108 <br />ELLENSBURG, WA 98926 <br />1.I4lVLCL.�H t IUlm <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Isabel Mun�uia <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 2512010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 <br />