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ACORi:!' CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) ~ 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 ~~Wt(lT Hiscox Inc. rA1g~Jo. Extl: (888) 202-3007 1 ~,Nol : 520 Madison Avenue E.fIIAll oontad@hlsoox.com 32nd Floor ADDR EllS: 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: INSURE~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 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. I ~f:" TYPE OF INSURANCE I~~:~ ~:: POUCyltUMBER 1~~'il5~ I I ~g~~~ LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ -~ CLAIMS-MADE 0 OCCUR ¥~~~~E~~~encel -$ -MED EXP (Anv one personl $ PERSONAL & ADV INJURY $ -GEN 'l..AGGR EGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ =i D pR~ DLOC POLIGY JECT PRODUCTS -COMPIOP AGG $ e THER : $ AUTOMOBILE LIABILITY _J~'1J:::':lfINGU: LlMTr $ - ANY AUTO BODILY INJURY (Per person) $ -ALL OWNED .--SCHEDULED BODILY INJURY (Per accident) $ -AUTOS r---AUTOS NON-OWNED ~~~WAMAGE HIRED AUTOS AUTOS $ I--I-- $ UMBRELLA LIAB r-l OCCUR EACH OCCURRENCE $ 1'- EXCESS LlAB CLAIMS-MADE AGGREGATE $ DED I JRETENTION $ $ WORKERS COMPENSATION I ~~TUTE I I ~TH-AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORlPARTNERlEXECUTIVE D NIA E.L _ EACH ACCIDENT $ OFFICERlMEM8EREXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYE~ $ If yes, describe under DESCRIPTION OE' OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Professional Liability N UDC-2096532-EO-17 10/30/2017 10/30/2018 Each Claim: $ 2,000,000 Aggregate: $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) C ERTIFICATE H OLDER 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