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COVERAGES <br />CERTIFIGATE OF LIABILITY INSURANCE <br />CERTIF;CATE NUMBER: CL2081775648 REVISION NUMBER: <br />DATE (MM/DD/YYYY) <br />0710712021 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFIGATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIGIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG INSURER(S), AUTHORTZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPoRTANT: lf the certificate holder is an ADDITIoNAL lNsuRED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />lf SUBROGAIION lS WAIVED, subject to the tenns and <br />this certificate does not confer rights to the certificate <br />conditions of the policy, certain policies may require an endorsement. A statement on <br />holder in lieu of such endorsement(s). <br />PRODUCER <br />Rice lnsurance LLC <br />1400 Broadway <br />P.O. Box 639 <br />Bellingham wA 98227 <br />Sandi Jones <br />lJ3.nnt". .o,, (360) 734-1 1 61 (360) 734-1173rArC Nol: <br />sandi@riceinsurance.com <br />INSURER(S) AFFORDING COVERAGE NAtc# <br />tNsuRERA: Mutual of Enumclaw 14761 <br />INSURED <br />Tarp lt, lnc. <br />3000 Wilson Creek Rd <br />Ellensburg wA 98926 <br />INSURER B: <br />INSURER C : <br />INSURER D : <br />INSURER E: <br />INSURER F: <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 />INDICATEO. NOTWTHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS <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 TYPE OF INSURANCE wvD POLICY NU[IBER FSLIGY gP <br />IMM/DD'YYYY}LIMlTS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />.LAIMS-MADE lX o""u* <br />APPLIES PER: <br />POLICY <br />PRO-JEcr | | Loc <br />cPP002098403 08121t2020 0812112021 <br />EACH OCCURRENCE s 1,000,000 <br />$ 300,000 <br />MED EXP (Anv one oe6on)$ 10,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERALAGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OPAGG $ 2,000,000 <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />ANYAUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />NON.OWNED <br />AUTOS ONLY <br />cPP002098403 08t21t2020 08121t202',1 <br />$ 1,000,000 <br />BODILY INJURY (Per peFon)$ <br />BODILY INJURY (Per aeident)$ <br />$ <br />$ <br />A <br />x UMBRELLA LIAB <br />EXCESS LIAB <br />x OCCUR <br />CLAIMS.MADF uMc000503303 08t21t2020 o8t21t2021 <br />EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE s 5,000,000 <br />DED RETENTION $$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LI,ABIIITY <br />ANY PROPRIETOFVPARTNERYEXECUTIVE <br />OFFICEFVMEMBER EXCLUDED? <br />(Mandatory in NH) <br />lfyes, desqibe under <br />DESCRIPTION OF OPEMTIONS balow <br />Y'N <br />N/A CPP002098403 - WA Stop cap 08t21t2020 08t2'U2021 <br />EFaBt,,tr I X OTH- <br />FR <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E,L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT s 2,000,000 <br />DESCR|PIION OF OPERAIIONS / LOCATIONS / VEHICLES (ACORD l0l, Addltlonal Remarks Scheduls, may be attached tf more spas is requtrsd) <br />RE:8/2312021 Event <br />CertificateHolderisadditional insuredforGeneral Liabilitypertheaftachedform#EG2018 10/12. WaiverofSubrogationisincludedperformCG24040s/09 <br />and the Blanket auto additional insured form #EAgg 1.1/13 is also included <br />HOLDER <br />@ 1988.2015 ACORD CORPORATION. Att rights reserved. <br />TheACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDAI.ICE WITH THE POLICY PROVISIONS.Kittitas County Board of County Commissioners <br />205 W 5th Ave Ste 108 <br />wA 98926Ellenburg <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03)