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CERTIFICATE OF LIABILITY INSURANCE DA� OMIYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIG TS UPON THE CE:RTTF(CATE 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 THY ISSUING INSURER(S), AUTHORIZED RI_PRESMATTVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: 9the certificate holder Is an ADDITIONAL INSURED, the pollcy(I" must be ondom d. It SUBROGATION IS WAIVED, subject W the tonne and conditions of <br />the policy, certain pollcles may requirean ondoreoment A state ment on this cent tate loon not confer rights to the cortiilceto holder In Ileo of such endomement(a). <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: 386677-3292 <br />Ormond Beach, FL 32174 <br />E-MAIL ADDRESS: IcasanoveCsiai.net <br />INSURED: <br />LOST PAIR RANCH, LLC <br />LOST <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 />THIS ISTO CEWIFY THATTHE F5LIC1198 OF INISORANCE LI$TED B L w HAVE BEEN I U O THE INSURED NAMED ABOVE FOR THE P PERIOD INOICATt� NOTWITHSTAN NNG ANY <br />REQUIREMENT TERh1 OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY OF ISSUED OR MAY PERTAIN, NE INSURANCE AFFORDED <br />BY THE POLECI 8 DESCRIBED HrREIN IS SUBJECT TU ALL THE TERMS. EXCLUSIONS AND CONDIT*N8 UFS H LICfES.! iT Y VF x U Y 10 CLAIMS <br />INSR POLICY EFF POLICY EXP <br />LTR TYPE OF INSURANCE POLICY NUMBER (MNMDDIYYYY) (MMODNYYY) LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LLNNLrrY <br />M OCCURRENCE [:]CLAM MADE <br />MASTER POLICY # <br />GGL01001 <br />3/25/2019 <br />3/25/2020 <br />GENERAL AGGREGATE <br />NONE <br />PRODUCTS-COMPIOP AGG <br />$ 1,000,000 <br />PERSONAL & ADV. INJURY <br />$ 1,000,000 <br />M PREMISESIOPERATIONS <br />CERTIFICATE # <br />EACH OCCURRENCE <br />S 1.000 000 <br />DAMAGE TO PREMISES RENTED <br />TO YOU (Any <br />$ 100,000 <br />M HIRED AUTO a NON-OMED AUTO <br />NGC 2917 -01 <br />MED. EXP (Any One Pelson) <br />S 10,000 <br />LIQUOR LIABILITY <br />Each Common Cause <br />❑ OCCURRENCE <br />Aggregate <br />❑ EXCESS LIABILITY <br />EACH OCCURRENCE <br />13OCCURRENCE 0 CLAIMS MADE <br />❑ RETENTION a <br />AGGREGATE <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />❑ WC STATU- ❑ OTHER <br />TORY LIMITS <br />E.L. EACH ACCIDENT <br />ANY PROPRIEtORIPARTNERIEXECUTNE YM <br />OFFICERIMFMBER EXCLUDED? <br />E.L. DISEASE - POLICY LIMIT <br />�M�"o'sld" In HH) <br />DMAdIMMO'WHH D XERATI0Ns hekW <br />E.L. DISEASE - EA EMPLOYEE <br />DESCRIPTION OF OPERA7iDN8ROCA nt1NSISPECIAL ITEMS — CERTIRCATE HOLDER IS ADDED AS AN ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES 9UT ONLY trMTN <br />rTO711E0PER 7122OYr: <br />MU <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 />&^ wPTivtr_ATr- mini nr-R 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 VATH <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 />