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Client#· 1628 ELLENROD ACORDT M CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 07127/2015 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 t he certific at e holder is an ADDITIONAL INSURED, the pollcy(fes) 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 endO rsement(s). PRODUCER ~~I~cT Haas & Wilkerson Insurance wgNrf., Ex!): 913 432-4400 1 ~,ND1: Specialty Program Insurors E'MAIL ADDRESS :. 4300 Shawnee Mission Parkway INSURE~(SI AFFORDING COVERAGE NAIC# Fairway, KS 66205 INSURER A: Illinois Union Insurance Compan 27960 INSURED INSURER B : ACE American Insurance Company 22667 Ellensburg Rodeo Association INSURERC : All Stock Contractors Providing Stock INSURERD : 609 North Main Street Ellensburg, WA 98926 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER· REVISION NUMBER · 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 AN Y 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 , INSR TYPE OF INSURANCE AD~L ~~R l'01.1CY'EFF 1 ,&~lBgWvYl LIMITS LTR INSR POLICY NUMBER !MMlDDIYYYYI A GENERAL LIABILITY X G21447419 ~8/01/2015 08/01/201E EACH OCCURRENCE $1 000000 r--m~'M9~EN1ED X COMMERCIAL GENERAL LIABILITY $250000 I CLAIMS·MADE ~ OCCUR MED EXP (Anyone person) $ -PERSONAL & ADV INJURY $1,000,000 ,-GENERAL AGGREGATE $2000,000 GEN'L AGGREn E LIMIT APPLIES PER: PRODUCTS· COM PlOP AGG $2,000,000 'l POLICY ~:2; Ii LOC $ AUTOMOBILE LIABILITY COMBINED SING LE LIMIT $ -J~'11 1 ANY AUTO BODILY INJURY (Per person) $ --ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ --NON·OWNED ~~~~~~AMAGE HIRED AUTOS AUTOS $ -- $ B UMBRELLA LIAB ~ OCCUR X XCPN0073262A ~8/01/2015 08/01/2016 EACH OCCURRENCE $1 000000 - X EXCESS LIAB CLAIMS· MADE AGGREGATE $1 000000 DED ~l I RETENTION $ ,!-$ WORKERS COMPENSATION 1,~a:R~Tt~~TS I I ~~H' AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERlEXECUTIVE D E.L . EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DIS EASE · EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE· POLICY LIMIT $ A Participan liab X G21447419 ~8/01/2015 08/01/201G incl in GLlimits above applies to PRCAlWPRA liquor liability X G21447419 ~8/01/2015 08/01/2016 1000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, If more space is required) INSURED: Ellensburg Rodeo Association; Ellensburg Top Hands; All Stock Contractors Providing Stock SCHEDULE OF EVENTS: (See Attached Descriptions) CERTIFICATE HO L DER CANC ELLATION SEE ATTACHED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE I ~i2~. m:..... - © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD :Il.~""Q"41/M""Q"4n WWITIC