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PSA A Better Track
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01. January
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2020-01-21 10:00 AM - Commissioners' Agenda
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PSA A Better Track
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Entry Properties
Last modified
1/29/2020 9:25:05 AM
Creation date
1/29/2020 9:24:27 AM
Metadata
Fields
Template:
Meeting
Date
1/21/2020
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
f
Item
Request to Approve a Professional Services Agreement with "A Better Track" to Perform the State Recognized Evidenced Based Program Education and Employment Training (EET) for Court Eligible Youth
Order
6
Placement
Consent Agenda
Row ID
59336
Type
Contract
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.......... <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIWYY) <br />12/30/2019 <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(ies) 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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />HISCOX Inc PHONE FAX <br />(AIC -No. ExO (888) 202-3007 (AM, No): <br />520 Madison Avenue E-MAILADORESl contact@hiscox.com _ <br />32nd Floor - - <br />New York, NY 10022 P.48VA R(BjAFFGRDINGCOVERAGE Umar <br />INSURED <br />A Better Track <br />18706 Whitehawk Dr <br />Arlington WA 98223 <br />IkSURERA; Hiscox Insurance GiaMpany Inc 10200 <br />INSURER B: <br />INSURERC: <br />INSURER D: <br />INSURER E,, <br />INSURER F: <br />Crl11FR9r:FR CFRTIFICATF NIIMRFR, RFVIRION NIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />'AOOL'SUIB�T <br />YNSRTYPE ) POLICY EFF POLICY ENPLIMITS <br />OF INSURANCE I>OlSC'f'H11A49ER <br />LTRWVD <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 3,000.000 <br />171 <br />TO RENTED <br />100,000 <br />CLAIMS -MADE - 1 OCCUR <br />pDAMAGE <br />$ <br />MED EXP Any oneperson) <br />$ 5,000 <br />,PERSONAL &ADV INJURY <br />$ 3,000,000 <br />A <br />Y I UDC -4363876 -CGL -19 <br />12/30/2019 <br />12/30/2020 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />X <br />— <br />POLICY PE0. LOC <br />PRODUCTS-COMP/OPAGG <br />....... .. .... .................... ... <br />$ S/T Gen. Agg. <br />AUTOMOBI LE LIABILITY <br />-CECMIBIN.EDD SINGLE UM IT <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />BODILY INJURY (Per accident) <br />$ <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />F'ROPERTYI7AE <br />— — <br />$ <br />AUTOS ONLY AUTOS ONLY <br />..II'.I. <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB I <br />CLAIMS -MADE <br />DED I RETENTIOIJ $ _ <br />$ <br />WORKERS COMPENSATION <br />1PER <br />TATUL£. <br />AND EMPLOYERS' LIABILITYYIN <br />..ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E L EACH ACCIDENT <br />$ <br />OFFICER/MEMBEREXCLUDED? ❑ <br />N / A <br />(Mandatory In NH) <br />E L DISEASE - EA EMPLOYEE <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L Dl6I5%BE-FOLII:Y Li11MIT <br />$ <br />I <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CPRTIt=ICOTF HOLDER <br />Kittitas County <br />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 />AUTHORIZED REPRESENTATIVE <br />V 'I`JtfS-LU "ID AL:UKLJ 1L UKYUKA IMV. A11 rlgrILS reser VCU. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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