Laserfiche WebLink
ALSCARC-02 <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DOIYYYY) <br />04/25/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rl hts to the certificate holder in Heu of such endorsement s . <br />PRODUCER <br />Spokane Office <br />PayneWest Insurance Inc. <br />501 N. Riverpolnt Blva., Ste 403 <br />Spokane, WA 99202 <br />INSURED <br />COVERAGES <br />THIS IS TO CERTIFY THA <br />INDICATED. NOTWITHSTANDING <br />CERTIFICATE MAY BE ISSUED OR <br />EXCLUSIONS AND CONDITIONS OF <br />INSR <br />A <br />TYPE OF INSURANCE <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE CR] OCCUR <br />EXCESSUAB <br />OED <br />WORKERS COIIPENSA TION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />QfFICER/MEMBER EXCLUDED? <br />!Mandatory In NH) <br />gt••~~ ~~PERATIONS below <br />8 Professional Liabill <br />838-3511 <br />NAIC# <br />20443 <br />35289 <br />INSURERC: <br />INSURERD: <br />INSURERE: <br />INSURERF: <br />REVISION NUMBER: <br />ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />NDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH.ICH THIS <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY EFF POLICY EXP LIMllS <br />2,000,000 <br />2,000,000 <br />4,000,000 <br />4,000,000 <br />1,000,000 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddlHonal Remarks Sc <br />Re: Kittitas County Bloom Pavilion <br />Certificate holder Is additional Insured as per form SB146932F (06-16). <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Kittitas County THE EXPIRATION DA TE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />205 West 5th Avenue, Suite 108 <br />Ellensburg, WA 98926 <br />AUTHORIZED REPRESENTATIVE <br />I <br />d(Jwf§ttv{;- <br />ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. ,All rights reserved. <br />The ACORD name and logo are registered marks of ACORD