Laserfiche WebLink
TE <br />AC R CERTIFICATE OF LIABILITY INSURANCE DA 2/13/2016 <br />44.�-. <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, tf the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 luau of such endorsements . <br />PRODUCER O C ISABEL MUNGUTA <br />iAME.. <br />S$Fiaxalfr BRUCE H SEARS aH°:rr 509.697.490D r 509.697.9394 <br />c a <br />EMAIL ISABEL.MUNGUTA.KCA7 STATEFARM.COM <br />105 S 1ST STREET � <br />SELAH, WA 98942 INSUR s MI'06 MNG COVERAGE as <br />INSURED <br />State Farm Fire and Casualty Company 1 25143 <br />State Farm Mutual Automobile Insurance Company 1 25178 <br />CRIME STOPPERS OF YAKIMA COUNTY INC <br />PO BOX 11056 <br />YAKIMA, WA 98909 <br />^ Arr rii ieeocn. 12FVICInId Nf IMAr-R- <br />.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIC <br />LY PERIOD <br />O <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TWHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALTHE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR' <br />TYPE OF INSURANCE <br />ADD <br />MOM <br />POLICY NUMBER <br />POtJCY EFF <br />FOLkCY E51P <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EAtROCCURRENCE $ 2,000,000 <br />MER EXP Ay One parson] $ 5,000 <br />ADVINAURY $ 2,000,000 <br />A <br />Y <br />98 -BJ -G478-3 <br />07101/2019 <br />07/01/AL <br />� <br />GEHL AGGRE13ATE LIMIT APPLIES PER: <br />A[30REGATE $ 4,000,000 <br />CTa=cannProt~AGG $ 4,000,000 <br />POLICY JECOT- LOC <br />' <br />__70 <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />(E SINaiisl SINGLE LIMIT $ <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNED I SCDULED <br />AUTOS ONLY I AUTOHES <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY(Par <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAVE $ <br />$ <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIE—CU, IVEE.L. <br />c T T E 77 <br />EACH ACCIDENT $ <br />OFFICERIMEMBER EXCLUDED? ❑ N I A <br />(Mandatory In NH) <br />E.L. DISEASE - EA EMPLOYE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />If es, descrbe under <br />DESCRIPTION OF OPERATIONS below <br />_7� <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />LOCATION: 128 N 2ND ST, YAKIMA, WA 98901 <br />YOUR CANNYON FOR A DAY RIDE <br />ADDITIONAL INSURED - CERTIFICATE HOLDER: KITTITAS COUNTY, WASHINGTON STATE PATROL, DEPT OF TRANSPORTATION, BUREAU OF <br />LAND MANAGEMENT, US GOVERNMENT AND "rhe United States Department of the Interior-BLM is additionally insured." <br />CERTIFICATE FOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />KITTITAS COUNTY ACCORDANCE WITH THE POLICY PROVISIONS. <br />205 W 5TH, STE 108 <br />ELLENSBURG, WA 98926 AUTHORIZED REPRESENTATIVE <br />© 1988-2016 ACORD C PORATION_ All riahtm recprva_rI_ <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />1001486 132849.12 0316-2016 <br />