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AR�® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDDIYYYY)
<br />`CC>
<br />`�
<br />11/7/2019
<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 />CONTACT
<br />Dealey, Renton & Associates
<br />PHONE FAX
<br />IC No): 510-452-2193
<br />x : 510-465-3090 AIC.
<br />P. O. Box 12675(A/C.No
<br />ADDRESS: certificates@dealeyrenton.com
<br />Oakland, CA 94604-2675
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />License #0020739
<br />INSURERA: National Fire Insurance Co of Hartford 20478
<br />_7 CLAIMS -MADE M OCCUR
<br />INSURED PARAINC-01
<br />INSURER B: Continental Insurance Company 35289
<br />Parametrix, Inc.
<br />1019 39th Ave. SE Suite 100
<br />INSURER C: American Casualty Company of Reading PA 20427
<br />INSURER D: XL Specialty Insurance Co. 37885
<br />Puyallup, WA 98374
<br />INSURER E: Valley Fore Insurance Company 20508
<br />(253) 604-6600
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 1848748938 REVISION NUMBER:
<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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />IMMM) FF
<br />MMIDDYEXP
<br />IYYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />6050531366
<br />11/1/2019
<br />11/1/2020
<br />EACH OCCURRENCE $1,000,000
<br />_7 CLAIMS -MADE M OCCUR
<br />DAMATE TO
<br />PREMISES Ea occurrence) $ 1,000,000
<br />MED EXP (Any one person) $ 10,000
<br />X Contractual Liab
<br />X XCU Included
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE 52,000,000
<br />POLICY M PRO-
<br />JECT LOC
<br />PRODUCTS -COMP/OP AGG $2,000,000
<br />WA Slop Gap $ 1,000,000
<br />X OTHER: WA Stop Ga /EL
<br />E
<br />AUTOMOBILE LIABILITY
<br />Y
<br />Y
<br />6050531352
<br />11/1/2019
<br />11/1/2020
<br />COMBINED SINGLE LIMIT $1,000,000
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />IX
<br />BODILY INJURY (Per accident) S
<br />PROPERTY DAMAGE S
<br />Per accident
<br />X HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />S
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />6050531433
<br />11/1/2019
<br />11/1/2020
<br />EACH OCCURRENCE S15,000,000
<br />AGGREGATE $ 15,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DEC) I X I RETENTIONS
<br />$
<br />C
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.
<br />Y
<br />6050531383
<br />6050531402
<br />11/1/2019
<br />11/1/2019
<br />11/1/2020
<br />11/1/2020
<br />X STERATUTE ER WA STOP GAP
<br />EACH ACCIDENT $ 1,000,000
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />(Mandatory in NH)
<br />NIA
<br />L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />kEL.DISEASE - POLICY LIMIT $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />D
<br />Professional Liability
<br />DPR9932956
<br />11/1/2019
<br />11/1/2020
<br />Per Claim $1,000,000
<br />Claims Made
<br />Annual Aggregate $1,000,000
<br />Pollution Liability Included
<br />Retroactive Date: 01/01/1969
<br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />Umbrella Liability policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability.
<br />Project Number/Name: #373-1763-822 / Ryegrass Limited Purpose Landfill Permit Update
<br />Kittitas County Solid Waste is named as Additional Insured on General Liability, per policy forms, with respect to the operations of the Named Insured as
<br />required by written contract or agreement.
<br />Liquor Liability is Included with General Liability Coverage Part.
<br />Sixty (60) days written notice of cancellation to the County.
<br />(;LK I II-IGAI t FIULUtK LAIN rLLA I IUN OU UdyS INULK;U UI Vdl lUtindtlUlI
<br />Kittitas County Solid Waste
<br />Attn: Patti Johnson
<br />925 Industrial Way
<br />Ellensburg, WA 98926
<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
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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