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ACORD-CERTIFICATE OF LIABILITY INSURANCE I DATE (MIIIDDlYVVY) ~ 3/23/2016 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 certlflcate holder Is an ADDITIONAL INSURED, the poIlcy(lea) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollclH may require an endorsement. A statement on this certificate does not confer rights 'to the .certlflcate holder In lieu of such endorsement(s). PRODUCI!R ~Te~CT Atlanta Certificate Requests Commercial Lines -(404) 923 -3700 :E"",404 -923-3700 IJ~~ NQ); 877-362-9069 Wells Fargo Insurance Services USA . Inc. • aticertrequests@wellsfargo .com 3475 Piedmont Road NE . Suite 800 INSURER(S) AFFORDING COVERAGE NAIC. Atlanta, GA 30305-28!l6 INSURERA : Ironshore Specialty Insurance Company 25445 INSURI!D INSURERB : Federal Insurance Company 20281 Call2Recycle, Inc. INSURERC : 1000 Parkwood Circle , Ste . 200 INSURERD : INSURERE: Atlanta GA 30339 INSURERF : COVERAGES CERTIFICATE NUMBER' 10266664 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED . NOT'MTHSTANDING 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 , II~~ TYPI! OF "SURANCI! 1I\i!ln 1i.Wn POLICY NUMBER 1 ,~'i!%rJYYI ,fOllCY I!XP MMlDDIYYYY LIMITS A X COMMERCIAL GENERAL llABllrrv 002256701 01/04/2016 01/04/2017 EACH OCCURRENCE $ 1,000,000 -tJ CLAIMS-MADE 0 OCCUR ~~~~eSt~~:~_1 $ 500,000 - -MED EXP (Ally 011 ' person ) $ 25,000 PERSONAL & AOV INJURY S 1,000.000 r- R'L AGGREGATE LIMIT APPLIES PER : GENERAL AGGREGATE $ 2.000,000 ~PRO-D PRODUCTS· COMPIOP AGG $ 2,000,000 POLICY JECT LOC OTHER : $ B AUTOMOIILI! UAIILrrv 1473252697 01/04/2016 01/04/2017 rE~=i~I~INGLE LIMIT $ 1,000,000 r- ANY AUTO BODilY INJURY (Per perwn) $ r-ALL OWNED r--SCHEDULED AUTOS AUTOS BODilY INJURY (Per ICCident) S r--IX NON'()WNEO rp~~:~~I?AMAGE x HIRED AUTOS $ r-r-AUTOS $ A UMBRELLA LIAB M OCCUR 002256900 01/04/2016 01/04/2017 EACH OCCURRENCE S 4,000,000 r-x EXCESSLIAB CLAIMS-MADE AGGREGATE S 4,000,000 OED I X I RETENTION S 0 S B WORKERS COMPENSATION 71632600 01/0412016 01/04/2017 X I ~'~TUTE I I~r' ANO EMPLOYERS' LIABlLrrv YIN 1,000.000 ANY PROPRIETORIPARTNERlEXECUTIVE 0 E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A IMlndlto'Y III NHI E.L. DISEASE · EA EMPLOYE S 1,000.000 ~~rc~= ~~peRATIONS beloW .... h .... _ ..... E.l , DISEASE · POLICY LIMIT S 1,000.000 DESCRIPTION Of OPERATIONS I LOCATIONS I VI!HICL!I IACORD 101. AdclNlonlllterurbSchlCla .. , mq be _h.d If mo, .. paclte NqUIM) Kittitas County Solid Waste is named as additional insured as it relates to general liability in accordance with the terms and conditions of the policy . Umbrella follows form as it relates to additional insureds . The above coverage is primary and non-contributory where required by written contract , CERTIFICATE HOLDER CANCELLATION Kittitas County Solid Waste SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE 925 S. 'mJlJ slfial Way THE EXPIRATION DATI! THI!REOF, NOTICE WILL BI! oeUVl!Rl!D IN ACCORDANCI! WlTIt TItI! POUCY PROVUiIOfliS . Ellensburg WA 98926 AUTHORIZeD IU!PRElENTATIVE 9(~ I The ACORD name and logo are reg istered marks of ACORD ~ 1988·2014 ACORD CORPORATION. All right. rnerv.d. ACORD 25 (2014101)