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'-41 *.ACORU <br />COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <br />CERTIFICATE NUMBER:REVISION NUMBER: <br />OATE (MMIDD/YYYY) <br />rn5r2020 <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 CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />It SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, cerlain 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 />Hiscox lnc. <br />520 Madison Avenue <br />32nd Floor <br />NewYork, NY 10022 <br />liJS\t^ .*, (888) 202-3007 <br />com <br />INSURERISI AFFORDING COVERAGE NAIC # <br />tNsuRER A r Hiscox lnsurance Company lnc 10200 <br />INSURED <br />A Better Track <br />18706 Whitehawk Dr <br />Adington WA 98223 <br />INSURER B <br />INSURER C <br />INSURER D: <br />INSURER E : <br />INSURER F : <br />THIS IS TO CERTIFY THAT THE POL]CIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWTHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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 SHOVI/N MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRtTp TYPE OF INSURANCE lsqh POLICY Nt'MBFR PQLICY EFF POLICY EXP <br />LIMITS <br />A <br />X COIVIMERCIAL GENERAL LIABILITY <br />CLAIMSMADE OCCUR <br />GEN'L AGGREGATE LI [tIT APPLIES PER: <br />X POLICY PRO. <br />JECT LOC <br />X <br />uDC-4363876-CGL-20 12t34t2020 12/3A2021 <br />EACH OCCURRENCE s 3.0m mo r <br />uAtdAot IU tihN I b.u <br />PRFl,,{ ISFS rtr, 6..r r..on.^\s 100,000 <br />IMED EXP (Anv one person)s 5,0@ <br />FERSONAL & ADV INJIJRY s 3,0ffi.@0 <br />GFNERAL AGGREGqTF s 3,000,000 <br />PRODUCTS. COMP/OP AGG s Sff Gen. Aqq <br />s <br />AUTOSOBILE LIABILITY <br />ANYAUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />NON-OWNED <br />AUTOS ONLY <br />BODILY INJURY (Per peFon)s <br />BODILY INJURY (Per accident)s <br />S <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAII.,lS-I\,IADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />nFn RFTENTION S $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRI ETOR/PARTNER/EXECUTIVE <br />OFFICER,/MEMBER EXCLUDED? <br />(Mandalory ln NH) <br />lf yes describ€ under <br />DESCRIPTION OF OPERATIONS beIow <br />Y/N <br />NIA <br />PEH <br />STATIJTF <br />C]IH- <br />FR <br />E.L. EACH ACCIDENT s <br />E.L. DISEASE. FA EMPI OYFF <br />E.L. DISEASE - POI ICY I IMIT <br />DESCRIPIlON OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached ifmore space is required) <br />CERTIFICATE HOLDER <br />Kittitas County <br />SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIMTION DATE THEREOF, NOTICE WLL BE DELIVERED IN <br />ACCORDANCEWITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE i., <br />i t:it< <br />O 1988-2015 ACORD CORPORATTON. Ail rights reserved. <br />The ACORD name and logo are registered marks of ACORDACORD 25 {2016/03}