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DATE (MMIDDIYYYY) <br />AC*"R"" CERTIFICATE OF LIABILITY INSURANCE <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 <br />Hiscox Inc. <br />520 Madison Avenue <br />32nd Floor <br />New York, NY 10022 <br />INSURED <br />A Better Track <br />18706 Whitehawk Dr <br />Arlington WA 98223 <br />Na, Eats: (888) 202-3007 'VC, No, <br />eEss: contact@hiscox.com <br />INSURER At Hiscox Insurance <br />INSURER B:. <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />Inc <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />10200 <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 />IR At)CITYPE OF INSURANCE JNSD SU D POLICYNUTAAER MMIDDIYYYY <br />LTR M0-_101 p! YxYY LIMITS <br />LT <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />I CLAIMS -MADE _ OCCUR <br />PREMISES (EA o=LffenceL <br />$ <br />MED EXP (Any one person)_ <br />$ <br />PERSONAL&ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />$ <br />PRO- LOC <br />POLICY I.......... ........._. <br />PRODUCTS-COMP/OPAGG <br />$ <br />OTHER: <br />$ <br />AUTOMOBILE LIABILITY <br />j <br />C�rCMIJINW 2414r.LE LIMir <br />b WC41013 <br />$ <br />BODILY INJURY (Per person) <br />$ <br />1ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />BODILY INJURY (Per accident) <br />_ <br />PROPERTY DAMAGE <br />.LPer accident/ <br />$ <br />$ <br />UMBRELLA LIAROCCUR <br />HCLAIMS-MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />DED 1E1_z_NT1p11$ <br />$ <br />11 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PEST••. - <br />—! S'[gTE <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMB ER EXCLUDED? <br />NIA <br />- <br />(Mandatory In NH) <br />E L. DISEASE- EA EIvMPLOYEq <br />$ <br />If yes: describe under <br />QESCRIPTION OF OPERATIONS below <br />EL DISEASE- PDLICY11hLT <br />-- <br />$ <br />A Professional Liability <br />Y <br />UDC -4363876 -EO -19 <br />12/30/2019 <br />12/30/2020 <br />Each Claim: <br />Aggregate: <br />S 1,000,000 <br />$2,0007000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER <br />Kittitas County <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 />Oc 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />