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ACQ� ^® <br />III CERTIFICATE OF LIABILITY INSURANCE <br />DATE WWDWYYYYi <br />06/16/2020 <br />THIS CERTIFICATE 15ISSUEDASA MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDERTHIS CERTIRCATE DOES NOT <br />MiRMATTVELYOR NEGATNELYAMEND, EXTEND ORALTERTHE COVERAGE AFFORDED BYTME POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT <br />CONSTITUTE ACONTRACFB EN THE ISSUING INSURERS1 AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER <br />IMPORTANT: Ifthe certhloate holder Is an ADDITIONAL INSURED, the policAles) mug have ADDRIONAL INSURED provisions or he endorsed. If SUBRDGATION ISWMt'ED, <br />suBJectto the terms and conditions of rhe policy, certain policies may require an endorsement A statement on this cartlgatedoes notooMer rights to the certifloge <br />hoklerin lieu afsuch endorsements <br />!'ROOUCEK <br />CONTACT <br />NASW ITRG Plan Admin LYratoi <br />1200 Eas[ Gen Avenue <br />NAME: <br />NONE <br />WC, NA EO: <br />F�A'CJ <br />W4 Nok <br />&WIL <br />Pe^^:,T 'h'eigh`:S. It tit 61 Ei 11348 <br />ADDRESS <br />INSURER(S) AFFORDING COVERAGE MAIC# <br />INSURED <br />INSURERA: NASVV RLsL Reufnr*al=Croup 142116 <br />INSURE0.B: <br />Krish L UnPike! <br />INSURER C: <br />90:i S 34th Ave <br />INSURERD: <br />Yakima, VVA 989:12 <br />INSURERS <br />INSURER F. <br />CUSTOMER ID: 3TDIS92CJX CERTIFICATE NUMBER: G-4545HGS4J-01 REVISION NUMBER: 001 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED W41EO ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOT WI 11 ISIANDING ANY REQLIIREIMENt If kir OR i :ONI411 )N (:1'' ANY (,ONI PACT OR 01111 P DOC :iMCNT WI IIT RI WI (r 10 WFIK I I HIL, CLRI If CAU MAY E E i. -;i A-1) OR <br />MAY PERTAIN, THE INSURANCE. AFFORDED BYTHE POLICIES CESCRIDED HEPEIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS <br />SHOWN MAY I I.A'V li.4iEEN RISUi;CE01iY PAID CI NN` <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />WER <br />V— <br />POUCYNUMBER <br />POLICY EFF <br />tMMnwimn <br />POUCY EXP <br />aMmomv» <br />UMTS <br />COMMERCIAL <br />GENERAL UABILIIY <br />eACN aalRaeaCE a+ccoaoo oo <br />DAOMA TO KI:CD $ <br />VNLM C h urr4. e <br />?MM'[niNl'aEYLYII CU141IY <br />N r' ?P E,' <br />CLAIM`;-.VW)1, ®�-.�f: <br />PFB ort -y ADva:a:2vi .. <br />A <br />IPU-CIP.IMSMN)C <br />Y <br />N <br />r 1�LASH". AJOI <br />07/16/2020 <br />li7116/2021 <br />GFNErALAGGRFGATF 5''. '00e.M1 <br />CP LI - O:'(UR <br />PR uOD.'Tc. %pmP.Tia MSG <br />AGGRFGATF L IMn APPU'S RHL <br />IFN`. <br />(POLICY <br />E]PROIECT ❑L(%: <br />-THER <br />AUTO MOBILE J"lUTY <br />C "Mclued vr.� L'LU;T - <br />ANVr.IiTO <br />SCHEDULED <br />NED A�TOS <br />A TOS ONLY �5 <br />a <br />;kx nL•N1.bCnSLa 5 <br />Px facta-r A -F S <br />HIRED FciT05 N)N (.WNI:1: <br />GNLY AUlCO3 ONI Y <br />A`.O RFGATE$ <br />H!E-L'"k <br />CLAIMS-M.ACE <br />DED NI:'IICN'I KIN Y <br />ORKERS COMPENSATION <br />.ma 1r1: a TE cn!Fn <br />D EMPLOYERS LIABILITY YM <br />'WY ROPRII=-1 )w ARI.M W ❑ <br />I XH' THE OI F IC[ RE MI MBCR <br />N!A <br />F. L. L-AU1 Acceenr g <br />FI r .EASE [::XFMPL.^,YFf $ <br />eL [x• +aacv Ike y <br />IX:IIk)HN <br />(Mand m y In N _ IOrI 0p O s undo, <br />�i)escr:pnan D`rye znO�S be a� <br />DFSCPoPllON PFRAJUNS CAT 1ON k,EHt LES (AOR[' 101 ikml.armz Reruattul2duly, aN , of J(1 Pdi^1[l,Iact} myue" <br />DCYF <br />817 E -ren[ AV - <br />42!"3 <br />Spokane VVS 99212 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br />CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE <br />WILL BE DELIVERED ON ACCORDANCE WITH POUCY PROVISIONS. <br />© 1988-2015ACORD CORPORATION. All rights reserved. <br />ACORD 25 )2016/03) The ACORD name and logo are registered marks of ACORD <br />