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CERTIFICATE OF LIABILITY INSURANGE <br />DAIE {NiulDorvYYn <br />1211312018 <br />THIS CERTIFICATE IS lssu EE AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER.THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NE GA TIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLtCtES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />CONTRACT BETWEEN THE tssutNG lNsuRER(S),AUTHORIZED <br />IMPORT ANT:the certiflcate holder is an INSURED,the poll must have ADDITIONAL provisions or be <br />lf SUtsROGATION !s WAIVED,subleci the terms a$d conditions of the Follcy,certaln pollcies may requlre an endorseme$t.A statement on <br />dses not cqnfel holder tn lleu of such <br />PRODTJCER <br />StateFarm BRUCE H SEARS <br />105 S 1ST STREET <br />SELAH, WA 98942&. <br />MUNGUIA <br />509.697.4e00 50s.6s7.9s94 <br />ISABEL.MUNGU IA.KCAT@STATEFARM.COM <br />INSURERISIAFFORDINGCOVERAGE <br />- <br />NAIC # <br />rNsuRER A: State Fann Fire and Casualty Company 2514s <br />INSURED <br />CRIME STOPPERS OF YAKIMA COUNry INC <br />PO BOX 11056 <br />YAKIMA, WA 98909 <br />IHSURER B :Siate Farm Mutual Automobile lnsurance Company JE4?N. <br />INSURERC: <br />INSURER D: <br />IiISURERE: <br />INSURER F: <br />NUMBER: <br />NOTWITHSTANDING <br />THEFOR ICYPOL PERIODTOINSUREDTHEABOVENAMEDBELOWLISTEDBEENHAVEISSUEDtsTOTHATCERTIFYPOLICIESTHE!NSURANCEOFTHIS <br />CHwHr tslnRESPECTWITHTOOFCONTRACTANYOTHERORDOCUMENTANYTERMREAUIREMENTCONDITIONORINDICATEDTOTHEHDESCRIBEDlsEREINSUBJECTTERMS,INSURANCETHE BYAFFORDED POLtCtESTHEBEMAYORrssuEDPERTAIN,MAYCERTIFICATE <br />FiAVEMAY REDUCEDBEEN PAIDBY Ms.CLAISUCHOFLIMITSPOLICiES.SHOWNANDEXCLUSTONSCONDITIONS <br />LIMITSPOLICY NUMEERINSRItcTYPE OF INSURAIiICE <br />$ 2,000,000dA,crr-occunnencr <br />$ <br />s 5,000MED EXP one <br />AtrV INJURY s 2,000,000 <br />s 4,000,000 <br />s 4,000,000 <br />B7tO1t202A07to1t2019 <br />D <br />A <br />COIIMERCIAL GENERAL LIABIUTY <br />crArMs{nADE Xl o""u* <br />ppn- <br />:rgblr I i <br />LIMfT APPLIES PER: <br />LOC <br />98-8J"G478-3 <br />s <br />SODILY INJURY (Per pereon)c <br />bBODILY INJURY (Per accjdent) <br />$ <br />AUTOMOBILE UAAILTY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />SCHEDUTED <br />AUTOS <br />NON-OWNED <br />AUTOS ONLY <br />EACH OCCURRENCE $UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS.MADE AGGREGATE $ <br />nFb RFTFNTTON S s <br />I PbRI STATI ITF UIFl- <br />FR <br />E.L. EACH ACCIDENT $ <br />E.L. OISEASE . EA EMFLOYEf D <br />WORKERS COilPENSATION <br />AND EiIPLOYERS' LIABILITY <br />mry pnbpnteroRvpARTNEFvEXEculvE <br />OFFICERII\'EMBER EXCLUDED? <br />(Mandatory in NH) <br />lf ye6, describe under <br />IIFSI.)RIPTION OF OFFRATION.S helnw <br />YIN <br />N'A <br />E,L- DISEASE. POLICY LIMTT s <br />DESCHmON OF OFEFATbI{S , LOCATIONS i VEHICLES (ACORD 101, Addltlonal Ramarks Schedulo, may be atrachcd It mors FF66 ls requlr€d} <br />LOCATION: 12s N zND ST, YAKIMA, WA S8901 <br />ADDITIONAL INSURED - CERTIFICATE HOLDER: KITTITAS COUNry, WASHINGTON STATE PATROL, DEPT OF TRANSPORTATION, BUREAU oF <br />LAND MANAGEMENT, US GOVERNMENT AND "The United States Department of the lnterior-BLM is additionally insured." <br />YOUR CANNYON FOR A DAY RIDE <br />SHOULD ANY OF THE ABOVE BESCRIBED POLICIES AE CANCELLED BEFORE <br />THE EXFIRATION OATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WTTH THE POLICY PROVISIONS.KITTITAS COUNTY <br />205 W sTH, STE 108 <br />ELLENSBURG, WA 98926 <br />Vrfu#/le <br />AUTIIORIZED REPREgENTATIVE <br />^/"*A01988-20t5 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />All rlghts reserved. <br />ACORD 25 (2016/03) <br />'1001495 132849,12 0&15-2016