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Ac.~Rd CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDIYYYY) 11102/2017 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(ies) 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 I ~:~CT Hiscox Inc. J1!g.NJ", E>etl: (888) 202-3007 I r~~"n" 520 Madison Avenue 1o~~bs· contaot@hiscox.com 32nd Floor New York, NY 10022 INSURER(S} AFFORDING COVERAGE NAIC# INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURERB : TERRA DESIGN GROUP INSURERC: 852 Barnes Rd Ellensburg, WA 98926 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER' REVl SION N U M B ER' . 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. ITSR TR TYPE OF INSURANCE I ~~ I ~~ POLICY NUMBER I l~~l D . ~~~l LIMITS ..x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 I--o CLAIMS·MADE [K] OCCUR ~~~~~~<:J~~r~n!O" ~ 100 ,000 I--MED EXPlA".\' on~arson) $ 5,000 A I--N UDC-2096532-CGL-17 10/30/2017 10/30/2018 PERSONAL & ADV INJURY $ 1,000,000 ~'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000.000 X POLICY D ~f8i D LOC PRODUCTS· COMP/OP AGG $ SfT Gen. Agg OTHER: $ AUTOMOBILE LIABILITY J~~l I NG ~U M IT $ I-- ANY AUTO BODILY INJURY (Par parson) $ I--ALL OWNED .--SCHEDULED BODILY INJURY (Per accident) $ I--AUTOS f-AUTOS NON·OWNED ..m~~AMllGE $ HIRED AUTOS AUTOS I--f-- $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ 1- EXCESSLIAB CLAIMS·MADE AGGREGATE $ DED I t RETENTION $ $ WORKERS COMPENSATION I m\ TE I I ~H' AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE D N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE· EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS balow E.L. DISEASE· POLICY LIMIT $ DESCRIPTION OF OPERA TlONSI LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) C ERTIFIC ATE HOLDER CANCELLATION Kittitas County % Kittitas county auditor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 205 W 5th Avenue, Suite 105 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ellensburg WA 98926 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ~j~ I © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD