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CERTIFICATE OF LIABILITY INSURANCE 1 <br />D3/20/2019' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT <br />AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT <br />CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(lasl must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of <br />the policy, certain policies may require an endorsement. A statement on this cert} cate does not confer rights to the certificate holder in (leu of such endorsemengs). <br />PRODUCER: <br />CONTACT NAME: Leslie Casanova <br />Sportsman's Insurance Agency, Inc. <br />PHONE: 800 925-7767 Ext 111 FAX: 386 677-3292 <br />1364 North US 1, Suite 503 <br />ELLENSBURG, WA 98926 <br />Ormond Beach, FL 32174 <br />E-MAIL ADDRESS: Icasanova@siai.net <br />INSURED: <br />LOST PAIR RANCH, LLC <br />INSURERS AFFORDING COVERAGE <br />INSURER A: T.H.E. INSURANCE COMPANY <br />P.O. BOX 814 <br />SOUTH CLE ELUM WA 98943-0814 <br />INSURER B: <br />INSURER C: <br />COVERAGES <br />�iii5 IS TO CERTIFY 7HA3 711E I'OL IES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTVvIITHSTANOING ANY <br />REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER QOCLIMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AfFORDED <br />f3Y THE POLICIES DESCRIBED HEREIN i8 SUBJECT TO ALL THE TERMS, FaiCLU9lON8 ANO CONOrrIONS OF SUCH POUCIFS. LIMITS SHOWN MAY DAVE BEEN RE UCEO QY PAID CLAIMS. <br />INSRPOLICY EFF POLICY EXP <br />LTR TYPE OF INSURANCE POLICY NUMBER (MWDD/YYYY) (MWDD/YYYY) LIMITS <br />A <br />GENERAL LIABILITY <br />ED COMMERCIAL GENERAL LIABILITY <br />OCCURRENCE ❑ CLAIMS MADE <br />MASTER POLICY # <br />GGL01001 <br />3/25/2019 <br />3/25/2020 <br />GENERAL AGGREGATE <br />NONE <br />PRODUCTS-COMP/OP AGG <br />$ 1,000,000 <br />PERSONAL & ADV. INJURY <br />$1,000,000 <br />X❑ PREMISEWOPERATIONS <br />CERTIFICATE # <br />EACH OCCURRENCE <br />$1.000.000 <br />(DAMAGE TO PREMISES RENTED <br />TO YOU lAny One Premises <br />$ 100,000 <br />a HIRED AUTO & NON -OWNED AUTO <br />NGC 2917 -01 <br />MED. EXP (Any One Person) <br />$ 10,000 <br />LIQUOR LIABILITY <br />Each Common Cause <br />OCCURRENCE <br />Aggregate <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />OCCURRENCE ❑ CLAIMS MADE <br />EIDED [:] RETENTION $ <br />AGGREGATE <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />❑ WC STATLI- OTHER <br />TORY LIMITS <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOWPARTNER/EXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - POLICY LIMIT <br />jM+andffWry in NHI <br />If yqadescr d under <br />1) Ui'TION OF OPERATIONS below <br />E.L. DISEASE - EA EMPLOYEE <br />DESCRIPTION OF OPERATIONSILOCATIONS/SPECIAL ITEMS — CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES BUT ONLY WITH <br />RESPECT TO THE OPERATIONS OF: <br />LOST PAIR RANCH, LLC <br />KITTITAS COUNTY IS ADDED AS ADDITIONAL INSURED ON A PRIMARY/NONCONTRIBUTORY BASIS, BUT ONLY WITH <br />RESPECTS TO THE NAMED INSUREDS OPERATION. LIABILITY COVERAGE IS NOT EXTENDED FOR ANY OTHER <br />ACTIVITIES. <br />rr-P 'IFII`ATF I-Inii 17FR CANCELLATION <br />FMPCO12011 072013 Includes copyrighted material of 1988-2010 ACORD CORPORATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH <br />KITTITAS COUNTY <br />THE POLICY PROVISIONS. <br />205 W. 5TH, AVE. <br />ELLENSBURG, WA 98926 <br />AUTHORIZED REPRESENTATIVE <br />FMPCO12011 072013 Includes copyrighted material of 1988-2010 ACORD CORPORATION <br />