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Special Event Application - Eastside Vocational
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08. August
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2021-08-03 10:00 AM - Commissioners' Agenda
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Special Event Application - Eastside Vocational
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Last modified
7/29/2021 1:26:58 PM
Creation date
7/29/2021 1:26:23 PM
Metadata
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Template:
Meeting
Date
8/3/2021
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
c
Item
Request to Approve a Special Event Application to Hold the Overcoming Obstacles Fighting MS Fundraiser (Eastside Vocational) on August 21, 2021
Order
3
Placement
Consent Agenda
Row ID
79309
Type
Special Event Application
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Pr-APG-002 (01t07) <br />CERTIFIGATE OF INSURANCE. PURCHASING GROUP LIABILITY <br />INSURANCE POLICY <br />This insurance is provided by: <br />Philadelphia lnsurance Companies <br />Master Pof icy Number: pHpK22t2407 <br />Master Policy Holder: <br />Special Markets Purchasing Group lnc <br />General Aggregate Limit: <br />(Other than Products Completed-Operations) <br />Products-Completed Operations Aggregate Limit: <br />Personal and Advertising lnjury Limit: <br />Each Occurrence Limit: <br />Damages to Premises Rented to You Limit: <br />Medical Expense Limit: <br />Item 1: Eastside Vocational Services <br />Item 2: 902 N Enterprise Way <br />Ellensburg, WA 98926 <br />$2,000,000 <br />Any One Premises <br />Any One Person <br />Producer Name: Special Markets lnsurance <br />Consultants, lnc <br />Producer Address: 1055 Main St, Ste 101 <br />Stevens Point, Wl 54481 <br />Producer Number: 27286 <br />Certificate Number: MPMI 01286 <br />As consideration of the payment of premium and subject to all terms of the master policy, we agree to <br />provide the insurance as stated in this certificate. <br />Item 3: Named Certificate Holder Association (if applicable): <br />Item 4: Mailing Address: <br />Item 5: Form of Business: Organization <br />Item 6: Business Description: Fundraising on Campus <br />Item 7: Location of all Premises you own, rent or occupy: <br />Location Address: <br />ftem 8: Policy Period: From: 8l2ll202l To:812212021 <br />12:01 A.M. Standard Time at the mailing address shown in ltem 2 <br />Item 9: Forms and Endorsements: Forms and Endorsements attached to this certificate - See Schedule of Forms <br />and Endorsements attached to the Master Policy. Copies are available upon request. <br />Item 10: Limits of lnsurance: This policy provides for the Limits of lnsurance below. <br />$t <br />$t <br />$t <br />$ <br />$ <br />000,000 <br />000,000 <br />000,000 <br />300,000 <br />0 <br />Page 1 of 2
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