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CERTIFICATE OF LIABILITY INSURANCE <br />1 DATE (MM/DD <br />3120120197 <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 HOT <br />CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the cordficate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to tho tonna and conditions of <br />the policy, certain polIclos may require an endorsement A stetonlont on!Iola certificate does not confer rights to the cortlflcato lioidor In (leu of such endamement(s). <br />PRODUCER: <br />CONTACT NAME: Leslie Casanova <br />Sportsman's Insurance Agency, Inc. <br />1364 North US 1, Suite 503 <br />PHONE: 800 925-7767 Ext 111 FAX: 386 677-3292 <br />AUTHORIZED REPRESENTATIVE <br />Ormond Beach, FL 32174 <br />E-MAIL ADDRESS: Icasanova@siai.net <br />INSURED: <br />LOST PAIR RANCH, LLC <br />INSURERS AFFORDING COVERAGE <br />P.O. BOX 814 <br />INSURER A: T.H.E. INSURANCE COMPANY <br />SOUTH CLE ELUM WA 98943-0814 <br />INSURER B: <br />INSURER C: <br />COVERAGES <br />THIS IS TO CERTIFY TRATTIIE POLICIES OF INSURANCE LISTED BELOW I1AVE 3EEN f SUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWrfriSTANDING ANY <br />REQUIREMENT. BERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 10 WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />SYTHE POLICIES OESCPUBEO HEREIN IS SU8JECT TOALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS S14OWN MAY RAVE BEEN REOUCFO HY PAID CLAIMS <br />INSR POLICY EFF POLICY EXP <br />LTR TYPE OF INSURANCE POLICY NUMBER (MM/DD/YYYY) (MWDD/YYYY) LIMITS <br />A <br />GENERAL LIABILITY <br />❑X COMMERCIAL GENERAL LIABILITY <br />FTIOCCURRENCE [:] CLAIMS MADE <br />MASTER POLICY # <br />GGLO1001 <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 />El PREMISES/OPERATIONS <br />CERTIFICATE # <br />EACH OCCURRENCE <br />$ 1.000.000 <br />(DAMAGE TO PREMISES RENTED <br />TO YOU (Any One Premises <br />$ 100,000 <br />FiHIRED 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 />F1 OCCURRENCE <br />Aggregate <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />OCCURRENCE ❑ CLAIMS MADE <br />❑DED ❑ RETENTION $ <br />AGGREGATE <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC STATU- OTHER <br />TORY LIMITS <br />E.L. EACH ACCIDENT <br />ANY PROP RIETORIPARTNER/EXECUTNE YIN <br />OFFICERMSEN.BER EXCLUDED? <br />E.L. DISEASE - POLICY LIMIT <br />[[tdenc�ssory.InNN1 <br />Ifyoa dascnbad wtdw <br />OFSCRIPTTON OF OPERATIONS below <br />E.L. DISEASE - EA EMPLOYEE <br />DESCRIPTION OF OPERATIONS/LOCATIONS/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 />CERTIFICATE HOLDER 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 />-c <br />FMPCO12011 072013 Includes copyrighted material of 1988-2010 ACORD CORPORATION <br />