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DATE (MMIDDIYYYYI <br />A R " CERTIFICATE OF LIABILITY INSURANCE 1 01/11/2019 <br />THIS CERTIFICATE <br />I NOT AFFAS A MAtitIYIATiWELY£OR NEGATIVER OF LY AMENDTION , EX OR ALTER R THE COVERAGE AFFORDED AND CONFERS NO RIGHTS UPON THE ABY THE POLICIETE HOLDER. S <br />CERTIFICATEAUTHORIZED <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING lNSURER[S), <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />Ion or be endorsed. <br />SURED provis <br />if SUBROGATION IScWAIIcate holder is an VED, subject to the terms and conditions of the NAL INSURED, the Ipolicy,'certainhave <br />policiesD ayNAL requirye an endorsement. A statement n <br />if SU <br />this certificate does not confer rights to the certificate holder in Ileo of such gnAdorsernenl(s)• f <br />KYLEEN ANDREWS <br />PRODUCER PHOT 509.697.4900 _�jA C No: 509.697'9394 <br />$te3$@ �r7i'Ije BRUCE H SEARS ftp.tL KYLEEN,ANDREWS•RPPE@STATEFARM.C47M <br />-Mn <br />� <br />� 105 S IST STREET � <br />f,('�Z'•:•tN$URE AFFORDIrdDCOVERADE NAIC 11 <br />SELAH, WA 98942 25143 <br />INSURERA: State Farm Fire and Casualty Company <br />_ — -- -' - State farm Mutual Automobile Insurance Company 25178 <br />INSUREDINSURERS_ <br />CRIME STOPPERS OF YAKIMA COUNTY INC INSURER C: <br />PO BOX 11056 INSURER _- <br />YAKIMA, <br />- <br />YAKIMA, WA 98909' (NSURER t <br />COVERAGES CERTIFICATE NUAABER: REVISION NUMBER: <br />THIS IS TO H THIS <br />CERTIFY THAT THE <br />ANYIES OF INSURANCE LISTED BELOW HAVE 13EEN ISSUED REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OOR OTHER DOCUMENT WIED THE INSUREDDTH RESPECT ALL <br />TVE FOR THE HE TERMS, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN- THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJBY <br />ECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED PPIou E%PS EMITS <br />IN <br />DDIMfYYY <br />,ALOE R PO1.S NV SER 2,000.000 <br />TYPE OF INSURANCE <br />EnC�IOCCURRENCE $ <br />ODAHAERCIAk QENERAL L111BILliI' <br />�PRFiAI$5 iEa xcrgrelx0 % <br />CLAIMS�IADE ®OCCUR 5,000 <br />MED EXP (Any one rson $ <br />A J Y 98 -BJ -G478-3 <br />GEKL AuQxEGATE LIMIT APPLIES PER: <br />71 rOUCY L} F ❑ LPA <br />07101/2016 07101/2019 PERSONAL & ADV INJURY 5 2,000,000 <br />LiENERAL AGGREGATE S- 4�ODD,000 <br />PRODUCTS-COMPIAPAGG S 4,000,000 <br />S <br />ATHER: <br />C{3MtlINC(J 51flbLC LI�YiI <br />AUTOMOBILE LIAS1LtTY <br />a <br />aODILY INJURY (Per person) S <br />ANY AUTO <br />.BODILY INJURY (Per accident) S <br />AWNED <br />AUTOS ONLY <br />SCHE•DULF.D <br />ANO <br />AROP Ai3E $ <br />MIRED <br />r-QIAR9ED <br />clen t} <br />AUTOS ONLY <br />AUT US ONLY <br />S <br />EACH OCCURRENCE S <br />UMBRELLA LIAR <br />OCCUR <br />AGGREGATE $ <br />EXCESS UAB <br />CLAMS -MADE <br />. <br />WORKERS COMPENSATION <br />AND EMPLOYERS• LIABILITY <br />ANY PRQPRIETONPARTNE{RIEXECUTIVE YIN N I A <br />OFFICEROMEMSER EXCLUUE137 <br />1Mandatory In NH) <br />1I vea. dounWe under .- <br />E.L. EACH ACCIDENT S <br />E.L. DISEASE - EA EMPLOYJ 6 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 901, Additional Remarks Schedule, rnaY be attached N more space is required) <br />LOCATION: 128 N 2ND ST, YAKIMA, WA 98901 <br />YOUR CANNYON FOR A nAY RIDE - MAY 19, 2019 <br />ADDITIONAL INSURED - CERTIFICATE HOLDER: KITTITAS COUNTY, WASHINGTON STATE PATROL, DEPT OF TRANSPORTATION, BUREAU OF <br />LAND MANAGEMENT, US GOVERNMENT AND "The United States Department of the Interior-Bl..M Is additionally insured," <br />CERTIFICATE HOLDER 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 THE POLICY PROVISIONS. <br />KITTITAS COUNTY <br />205 W 5TH, STE 108 OR= R PRE$ TATN <br />ELLENSBURG, WA 98926 <br />©1988-2015 A D C PORATION. All rights reserved. <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD " 1,M1496 132899-12 03-1&-20`16 <br />