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_____, <br />ACORD• LlP I'€ tMM/11l\[l/'(/'!i<) <br />L.---' CERTIFICATE OF LIABILllY INSURANCE 07/17/2019 <br />llilSCERt'iRO((E!ilSISI.Ql6A~OF\tflR!lWililirn!I ~.I.Olli:UllltillfE~INOiiUam:l!l~lil!t!E~'IJElf~ lltt5ffi11111HO!lFlll1!ll!S.llll!l'IT <br />~Y al~lMLYM!all>,EXrBEOlltlll.llRl!llECIMll'AGENRlf,Wl-"lllUWCSISEI.DW:llttl5caumcATE<F~Nalr <br />COKSJ'ITVT'E ACONllWTIEYtHMlHE~llll!il!lllERISAlJJJtOAIZEO~CRP!WfllllJfflVil>lHECl:Rl'lflCAlctiOUlEil <br />l~Nff;lflhe~hakler-lsanM)()fOOW,l.~lhe~nu:st'-~fl'E!G9!)~ar~~lf~l5WAIVB>, <br />5Uljet:tto1heterm;aro ccndllJons cfltepolrq, ~emltJ.p:lloes:~an ~ASllte1lellt m11$m'llllcllte iflleslllltO)rJfB',WUtoOle;anlfGQ <br />holderJn lleu ~sud, l!f daf:sl!I IW!I& <br />PRODUCER CllNrACf <br />!WE <br />NASW RRG. Plari Aclmirri.strator ~ ~-UBO!Ea!.t G'lern Affi~.ie wi:ruii~ <br />~@ Heigflts, ll £i :&! 66348 <br />I~ <br />ltB.RM>~COVBWiE <br />INSURED IHSUf/B!A: N'/li S-W lil!i£k li!.'etenliion 1Gino:1w <br />Kristl L H..m:th '1'&lllB.l8; <br />903 S 34th ,\.','f! lla.R:R C <br />\'a.!.Jrn-~. %'/, 9-)~'i <br />, __ lllt <br />\t!:5llFIER fl <br />™-'!UiB!Ft <br />QJSTOMER ID: 3TD !S92CJX cmTIRCATE NUMBER: G--451' 45HGS4}-00 REVISION NUMBER: l[):m <br />WIS 15-TCJ f..ERT~ Uli\1 THE n'tJIJr_ES OF 1...:s-u1<Ar«-:E mnr.:-FlfJJi).1\\1 H.1<\IF.. lt!ffl'. t,,UF.:f..> TiHHlt. IN,URFJJ W.Mlf.J[) Aik)\/1: fcft.THic ll'Glr.Y ~IEJRl\iJfLI IJNlilli:':.~Trn. <br />NOTi"IITH"ilANIJING ANf HEQUf!EMENT. lEl!M OIH1JNOOlrn-. Of-Nl'i tlJNlAA.:_, 00 lTrtcEIWUOJ,WW wm-1 fl£5l'ECT 10 W.'1-iktl 1Hl5 nmlf-lCHE !JA:r"l:li tsSI.IEO Oft <br />MAY PEIHA IN, THE IN.SlJ!U\Nlt AFH.1Rl.lEll BVTHE l'<JUOE5 OE50lf8flt !-IEP.IJ!Hi 51.J!llECT TO All lHE lEf!M"; 1:JKU~..llJNS I\N.l.!· OITPl'6 0/C '.it.K.li f':JlK.1E5' LIMIT<;; <br />WlC!M11'1llJ c, ftl/\\>£ -,N Il[i)f0.Cfll)!l>1f ,·.,1[:o :Cl.,Thfl'i. <br />A <br />,.......;_ <br />LX, rcJMl~'l"illU ra'' L U, I <br />- <br />_ El'U -CJJ<IMS IIAAOE <br />_ E~ilJ-O<Cl.lJI. <br />[i]r.>r.~c'k <br />~:::~co ;.'1~:~11 D IS;C <br />7 or.-e <br />IJif <br />-o•,111H1BC1 <br />_ ill!.ITOS(.M: <br />I f®h/P;!:i <br />-~lt.!.( <br />1£:, ~ro I' SP, <br />r !~tra,1! lff'Kt'l/1,f:~>!!£' <br />~L:l;f..._ -lliyt!l.~ilu.,r.dln <br />~11 ~-~1'1Ftl m wfQil..•.itu-:s "'-oln <br />Manne. lane! Medk'aU Ofli e, llC <br />Ste 101 <br />Kennewick WA 99336 <br />y N <br />w.' <br />t.;,~M».f..tf TJj ~6l'llT8C..1 <br />~1utl.YJ'll""«J <br />t .. I~~EfJ·illl ~_':-1J-\lH <br />0:J .IL1..iJ1trTf) <br />SHOUlO NNOFTiiE NXlVED&RfBED POLIOES BE <br />CANCEU.ED SEFOAE lHE Bll'!AATION Do\.lE lHEREOF, NOTICE <br />WILL BE DE1.NERED ON ACCORDANcr ~ POllCY PnOVISIONS. <br />iAl.ffHCRtlfD ~f?e-P ~\ ,,-ATNE <br />\ <br />@ 1S88-2015 ACORD CORPORM'ION. All rights reserved. <br />ACORD 25 (2016/03} The ACORD name and la,o an! n1 glstered manes of ACORD <br />NAie# <br />1-Bf,1_,