Battle of the Bands - Laserfiche WebLink

Home Browse Search

SWIFCEL-01 PURLAICH CERTIFICATE OF LIABILITY INSURANCE � DATE (MM/DDnYYY) 0612712017 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollol" may require an endorsement. A statement on this certificate -does not confer rights to the certificate holder in lieu of such endorseme s . _ PRODUCER 0�7N ACT Richland OfficePxDNE - ,:AX PayneWest Insurance, Inc. Ir j++o, ESI :(509) 946-6161 {n1u, W01:18613) 215-4862 390 Bradley Blvd.Ric Wand, WA 99352 INSURER1s)AFPORQINOoo aW NA)C.R INSt))zEitA;AllL- World Specialty lnsumnce_CompM INSURED FHSUR£R e: Swiftwater Cellars, LLC tNsulxeRC;_ PO BOX 492 INSURER I Roslyn, WA 98941 INSURER F 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. 1NSR iADDLISUt3R LTRITYPE OF INSURANCE �lH>.: POLICY NUMBER POLICY EfFF -POLICY E p F LIMITS A I X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE S 11000,00 CLAIMS-MADE X OCCUR 5115007904 X 07/07/2017 07/07/2018 t�c r0 REHTEp 1:�rlSEsiEa._ 1,000,06 X Liquor Liability i s _ MED EXP (Any one person) _ 10,06 X IIVA Stop Gap 1r�%OrDO PERSONAL 8 ADV INJURY t -LiWLAGGMR ATE LIMIT APPLIES PER GENERAL AGGREGATE Zr�a_Or� 1 _ PORKY I JECT LOC PRODUCTS-COMP/OP AG i- 2rDD0,0D OTHER Ir A AUTOMOBILE LwBILITY: is (EOMBIN SINCILE LIMrI S 1.000.001 X ANY AUTO 5116007904 OWNED SCHEDULED 07/07/2017 07/0712016 BODILY INJURY LPerperson)lig AUTOS ONLY AUTNNOSSyyry� 1+1+ BODILY INJURY (Per aocide Z X AUTOS ONLY X AUU ONLY PPOPE ' _ '•� I 1 s _ _ _ A I X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 EXCESS LIABCLAIMS-MADE -5117007904 �... 07/07/201 7 07/0712016 AGGREGATE g 5,000001 �_ I DED . X TRETENTION S O i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 1PER tt OTH- E ER YIN �AAqN��YPEREOPRIETOR/PARTNER/EXECUTIVE r—'`'STATUTE .I – I E1EA yACCI $ I (Mandalo�ry�n NH) EXCLUDED? �� NIA + .__PtNT _ — _ If yes, describe under EI, DISEASE =EAFIIAPLOYk 8 • - DESCRIPTION OF OPERATI NS below _ E,L DISEASE -POLICY MIT i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule may be attached U more space Is required) re: All Events. Kittitas County is added as additional insured per form NGL00014 attached. CERTIFICATE HOLDER Kittitas County 205 W 5th Ave Ellensburg, WA 98926 ACORD 25 (2016/03) CANCELLATION — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD