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CERTIFICATE OF LIABILITY INSURANCE <br />ol <br />9lt/2020 <br />CERTIFICATE <br />DATE (MM/DD/YYYY) <br />8t27/2019 <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 CERTIFI <br />REPRESENTATIVE OR <br />CATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(SI, AUTHORZED <br />AND THE CERTIFICATE HOLDER, <br />IMPORTANT: lf the certificate ts ah ADDITIONAL tNs URED,the policy(ies)must have ADDITIONAL INSURED provisions'or be endorsed. <br />tf SUBROGATION WAIVED,subject to the terms and conditions of the pol i"Y'certain policies may require an endorsement,A statement onthiscertificatedoesnotconferrightstothecertificateholdertnlieuotsuch <br />PRODTJCER Lockton Comoanies <br />3280 Peachtrbe Road NE, Suite #250 <br />Atlanta GA 30305 <br />(404) 460-3600 <br />INSURED Summit Food Service, LLC <br />500 E 52nd Street N <br />Sioux Falls SD 57104 <br />135',7140 <br />INSURER B: Sentru Casualtv Comnanv )R460, <br />INsURER c : Sentry Insurance a Mutual Conrpany 7,49RR <br />rNsuRFR D: XL lnsttrance Americ: Tnn 24554 <br />INSURER E: <br />INSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER'OD <br />TERM OR CONDITION OF ANY CONTMCT OR OTHER DOCUMENT WTH RESPECT TO WH <br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />UIREMENT, <br />RTAIN, THE TERMS, <br />INDICATED. NOTWITHSTANDING ANY REO ICH THISCERTIFICATE MAY BE ISSUED OR MAY PE <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPE OF INSURANCE POLICY NUMBER LIMITS <br />EACH OCCIIRRFNCF s 1.000.000 <br />c l -000.000 <br />MED EXP iAnv one oerson)s 5.000 <br />PERSONAI & ADV IN.II IRY s 1.000.000 <br />SENERAL AGGREGATE s 2,000 000 <br />c COMMERCIAL GENERAL LLqBILITY <br />cLATMS-MADE ltl occuR <br />AGGREGATE LIMIT APPLIES PER: <br />[llg.e t]LOCPOLICY <br />OTHER: <br />Y N 90-1 8840-06 91112019 9/U2020 <br />$ <br />s L000.000 <br />3ODILY INJURY (Per person)$ <br />BODILY INJURY (Per accident $ XXXXXXX <br />$ XXXXXXX <br />C <br />C <br />A <br />AUToMoBTLE LrABrLrw <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />NON.OWNED <br />AUTOS ONLY <br />Drive Other <br />ANYAUTO <br />N N 90-r8840-04 (AOS) <br />90-18840-05 (MA) <br />GVEI 00207902(lXl) <br />9/1/2019 <br />91112019 <br />9l1D0t9 <br />9ll/2020 <br />9/t/2020 <br />9/1/2020 Excess Lirnit $ l-000-000 <br />X EACH OCCURRENCE $ 10.000.000UMBRELLA LIAB <br />EXCESS LIAB CGGREGATE $ 10.000"000 <br />D <br />DED RETENTION $ O <br />N N us00086357LIt9A 9ltl20t9 9^/2020 <br />$ X)CXXXXX <br />X STATI ITF IOTH. <br />:.1. EACH ACCIDENT s 1.000.000 <br />:.L. DISASE. FA EMPLOYFF s 1.000.000 <br />C <br />B <br />YVOI<KERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR,/PARTNER/EXECUNVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandalory h NH) <br />lf yes, dossibe under <br />DESCRIPTION OF OPERATIONS below <br />N N A <br />N 90-l 8840-01 <br />90-18840-02 (Retro) <br />9 <br />9 <br />9/tl20t <br />9^t201 <br />9lt/2020 <br />9/y2020 <br />* 1.000.000 <br />C Hired Auto Phvsica! Damage LT I\90-18840-04 (AOS)9t112019 91v2020 $5,000 Comp/Coliision <br />TIONS i VEHICLES {ACORD 101! Additional Remarks Schedule, may be attached lf more space ls required} <br />Additional insured as respects General Liability are requireci by written coDtract. <br />DESCRIPTION OF OPERATIONS / LOCA <br />Certificate Holder is included as an <br />AUTHORIZED <br />SHOULD ANY OF THE ABOVE DESCRIEED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NO'NCE WLL BE DELIVERED IN <br />ACCOROANCE WITH THE POLICY PROVISIONS. <br />1 3483555 <br />Kitlitas Countv Jail <br />205 West Fifth Street <br />Ellensburg WA 98926 <br />ACORD 25 (2016/03) <br />The ACORD name and logo are registered marks of AGORD <br />All rights reserved