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SCHUPOF-01 ADITTMA~
<br />CERTIFICATE OF LIABILITY INSURANCE I DATE(IIMIOO/YY'l'YJ
<br />04/06/2018
<br />THIS OERTlFICATE IS ISSU.ED AS A MATTI:R OF INFORMATION QNLY AND CONFERS NO RIGHTS UPON THE. CERTIFICATE HOLDER. THI.S
<br />CERTIFICATE DOES NOT AFFIRMATIVELY. OR NEGATIVELY AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERrJFICATE OF INSURANCE 00ES· NOT CONsmihe A CONTRACT BlITWEEN THE ISSUING INSURER{S}, AUTHIJRIZEO
<br />REPRESENTATIVS OR PRODUCERi AND THE CERTJFICATE HOLDER.
<br />IMPORT.MIT: If tho cortlflcato haldar Is an AriDmONAL iNSURcD, tlio pollcy(lctS) must hn110 ADDmONAL INSURED p~ovlslons or be endorsed.
<br />Ir SUBROGATION IS WAIVED, aubJoct to tho torms. and condlUona or tho policy, certain pollcios may roqulro an ondorsomonL A statemont on
<br />this cortlflcato doOll not con for rlnhts to tho cortlflcato holdor In llou of.s11ch ondonsomenllsi.
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<br />j~«.;i~rJtof~~~:::o, .Inc.. 1-Ii~,i-~"-' ~=1,__,('--5_41__.) ... 94_2_-0_5_5_5 ______ ,;,.I f,,...&:.;:x i.:1 t1:..;;.ol"':l,._5_4_1,_ l94.c_c_2_-.:..98.:..6:..;0_-I
<br />1645 East Main w'L
<br />Cottngo Grovo, OR 97424 ·----------------------1
<br />Richard Schuknocht dba. Schuknocht's P.O.F Polygraph
<br />Service
<br />413 N 2nd Stroot
<br />Yakima, WA 98~01
<br />COVERAGES CI:RTIFICATE NUMBER:
<br />,__ ____ ~ltl=S\J=RE-=1=sRISJ ,.AFFO:..:...:..::ROIN=G"-'CO=VERA==GE=-------t,-.:.NAl=C-=-•-I
<br />rNSURERA :Scottsdale Insurance Comoanv 41297
<br />lt/SURERB•
<br />.,!li,.Sll!!,ER,.,_C,..,_: -----------------1--------1
<br />ltl!IURERD•
<br />INSURERE:
<br />ltlSURERF:
<br />REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TI-IE POLICY PERIOD
<br />INDICATED. NOT'MTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 'MTH RESPECT TO 'M-IICH 11-IIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREINISSUBJECTTOALL THETERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />~ 1YPE OF INSURANCE I~~. ~~ POUCY NUMOER l>OUC"f e.FF _PQLIC.V EXP UIIITS
<br />A X COMMERCIAL GENERAL LIABILITY =• CI.AIMs-MAOE X OCCUR
<br />~ ----------
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<br />CEN'l.;AGGI!£~ UMIT APPLIES PER:
<br />X] POUC'f LJ !i?& [--i LOC
<br />7 ntH'"'""
<br />~ UIIBRa.LA UAB H OCCUR
<br />EXCE$S UAB Cl.AIMS.MADE
<br />..__ oeo I I RETEm10N s
<br />WORKERS COMl'alSA'IIOO
<br />ANO EMPl.O'IERS' UA8IUlY y IN
<br />X
<br />ANY PROPRIETORIPARTNERIEXECUTlVE •-ti/ A OfFJCEk,1,IEMBER EXCLUDE07 1w11a.uo,y In NHI
<br />!~~~~TIONS.....,__
<br />A Errors & Omissions X
<br />A IE'rrors & Omissions X
<br />RBS0009732
<br />RBS0D09732
<br />R8S0009732
<br />02/04/2018
<br />.l:ACH occu RENce=-__ .. ,%_~ ___ 4_,o_o_o_,o_oo_,·
<br />o2J0412019 ~il?e~i, _ __._.L.. ., ___ 1_0_0._000-l
<br />~eoEXP~> .i..:~.__ ____ 5..;_,0_0_01
<br />""1><::tVU.I & AnVl>J.U>Y ~ 4,000,000
<br />~QllH~_qg.,....1s_....µ-=L.._ __ s_,oo~o_,o~oo ... ,
<br />@~~-;,s.1_,,.sL.._ __ s....:,_ooo_,0_00-1.
<br />s
<br />CO/,l~tl.EO .SINGLE LIMIT .l
<br />.{E.ls~fflll
<br />_B()OILYl>J.NIR'f~W..J!!!!!!l:,_,l .L-~------1
<br />BODILY INJURY JPer IICdd<int),1-'S..__ ____ _
<br />f.ll.9~'i'.JuW':E ' !t
<br />1.
<br />EACH OCCllRRENCE S
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<br />I ~rVILLJ,OTH-E._.R,.__....._ ____ _,
<br />g.L EACHACC!OEN1' s
<br />,_E.L DISEASE.-EA EI.IPWYE' S
<br />E.L "'""4_~,: • 1>n1 Ir.'/ U.!AIT ~
<br />02/04/2018 02/04/2019 each clalm
<br />02J04/2018 02/0412019 aggregate
<br />4,000,000
<br />5,000,000
<br />DeSCf'IIPTIOtH)f' OPERA 'llOflS I LQC,\TIONS I VSIICLES (ACORD to 1, AdJi UorulR•itutb Schedulo, may be att>chcd If m<N'II space 11 ,-quh'ed)
<br />Cartlfleatei holdbt Is llddlUOJUII tn:surod per attached rorm GLS487
<br />CERTIF ICATE HOLDER
<br />Kittitas County
<br />205 W 6th Ave, Ste 105
<br />Ellensburg, WA 98926
<br />I
<br />ACORD 25 (2016/03)
<br />CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE Will. BE DELIVERED IN
<br />ACCORDANCE WITH ntE POLICY PROVISIONS.
<br />AUTttORIZE.D REPRESEHTA T1VE
<br />. {lid,u~ p )t~
<br />© 1988--2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registerod marks of ACORD
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