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ACORD^ <br />COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM'DD/YYYY} <br />6D2/2021 <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 OOES NOT CONSTTTUTE A CONTRACT BETWEEN THE ISSU|NG TNSURER(S), AUTHORIZED <br />LqPRESENTATTVE OR pEOpUgEB,AlllD THE CERTTFTCATE HOLDER. <br />IMPORTANT: <br />the terms and <br />the certiflcate <br />lf the ts an ADDITIONAL lNsuRED,the must b€tf ls wAlvED,subject to <br />conditions of the policy certain policies may require an endorcement.A statement on this certificate does not confer rights to <br />ln <br />Special Markets lnsurance Gonsultants, lnc. <br />'1055 Main Strcct, Ste 101 <br />Stovens Point, Wl 64481 <br />80v727-7642 7',t5-3&6216 <br />oolicvissue@amwins.com <br />AFFORDING COVERAGE NAIC # <br />INSUR.ED: <br />Eastside Vocational Services <br />902 N Entemrise Wav <br />Ellensburg, WA 98926 <br />INSURER A:Philadelphia lnsulance Companies <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />IN$tJRER E: <br />INSURER F: <br />lHlSlsloUE'F(Ilt,YlHAltHEPoLlclESoFlNsURANcELlSTEDBELoWHAVEBEENlssUEDToTHElNs <br />INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wlTH RESPECf TO IANIICN fUSCERrlFlcArE MAY BE lssuED ^o3^144I !-EnIA!!, THE INSURANCE AFFORDED By rHE polrctEs DESCR|BED HEREiN rS SuetECi ro nLi ine tenurs,EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHO\I\N MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INJK <br />ITR TYPE OF INSURANCE POLICY NUMBER P(JLIUY EFF <br />IMM'OD/YYYYI <br />],OLICY EXF <br />II'I"DDIYYYYT LIMITS <br />EACH OCCURRENCE $1,000,000 <br />$ 300,000 <br />MED EXP (Any on6 p€rson)$0 <br />PERSONAL & ADV INJURY $r,000,000 <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS.COMP/OP AGG $1,000,000 <br />A <br />COMMERCIAL GENERAL LIABILIry <br />Host Liquor Liabllity lncluded <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X <br />X POLICY <br />x <br />CLAIM$-MADE <br />LOCPROJECT <br />GENERAL LIABILITY <br />Y PHPI<2212107 12:01 Alt <br />8t21t2021 <br />12:01 AM <br />8t22r2021 <br />BOOILY INJURY (Per person) <br />BODILY INJURY (Per accidsnt) <br />PKUPTK I Y UAMALits <br />fPer aeidstl <br />ANYAUTO <br />ALL OW{ED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON.O\^NED AUTOS <br />LIABILITY <br />EACH OCCURRENCE <br />AGGREGATE <br />UMBRELLA LIAB <br />EXCESS LIAB <br />DEDUCTIBLE <br />RETENTION <br />OCCUR <br />CLAIMS.MADE <br />twuStAtu- |ItonY rrnrrs I OTHER <br />E.L. EACH ACCIDENT <br />E.L. DISEASE _ EA EMPLOYEE <br />WORKERS COMPENSATION <br />ANDEMPLOYERS LIABLITY <br />ANY PROPRIETORSH IP/PARTNER/ <br />EXECUTIVE OFFICER'MEMBER <br />EXCLUDED? <br />(Mandatory in NHI <br />lf yes, describe under <br />DESCRIPTION OF OPERATIONS bolow <br />T N/A <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS / LOCATTONS / VEHICLES (Attach ACORD 101, Additional Remarks Scheduls, lf more Bpace is requirsd)'l he Certllicate Holder ls added as an addltronal lnsured but only wrth resp€ct to hablhty aristng out oflhe operatrons ofthe above named tnsured <br />Coverage is primary in accordance with the Commercial General Liability form CG0001 as respects the insured's operations <br />Sponsors <br />CERTIFICATE HOLDER <br />Kittitas County ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED IN <br />W 5th Ave Suite 108 IIVITH THE POLICY PROVISIONS, <br />Ellensburg, WA 98926 REPRESENTANVE <br />Tttlh <br />@ 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />ACORD 25 (2009/09)