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PSA Schuknechts
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2021
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12. December
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2021-12-07 10:00 AM - Commissioners' Agenda
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PSA Schuknechts
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Entry Properties
Last modified
12/9/2021 2:58:45 PM
Creation date
12/9/2021 2:58:30 PM
Metadata
Fields
Template:
Meeting
Date
12/7/2021
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
m
Item
Request to Approve a Professional Services Agreement between Schuknecht’s Polygraph Service and Kittitas County
Order
13
Placement
Consent Agenda
Row ID
83921
Type
Agreement
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--ACONCI SCHUPOF.Ol <br />GERTIFIGATE OF LIABILITY INSURANGE DATE (MM/ODTYYYY) <br />2t't0t2021 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAN <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />D CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES <br />coNTRACT BETWEEN THE tSSUTNG TNSURER(S), AUTHORTZED <br />IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the poli cy(ies) must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED, S ubject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onendorsement(s).this certificate does not confer ri ghts to the certificate holder in lieu of such <br />PRODUCER <br />PayneWest lnsurance - TAG <br />14900 SW Barrows Rd, Ste 202 <br />Beaverton, OR 97007 <br />f#3)fi, ."r, (866) 276-3775 ffi, *o,,18661 21s-5018 <br />INSURER{S) AFFORDJNG COVERAGF NAIC # <br />TNSuRERA :Scottsdale lnsurance Companv 41257 <br />INSURED <br />Richard Schuknecht dba. Schuknecht's P.O.F polygraph <br />Service <br />413 N 2nd Street <br />Yakima, WA 98901 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F <br />R BE <br />FICATE MAY <br />TO FYCERTI TTHA THEDtcTH POLICI OFt5 SIN URANCE BELOWISTED HAVE ISSUEDEEN TTO EH JIN REDU EDNAM FORABOVE ETH LIPO PERICY oINDICATED.OTWITHSTN AND GN ANY REO REMENTUI TERM CONDOR OFITION coANY ORNTRACT DOCOTHER ENTUM RESPECTWITH WHICTO THISHBECERTIoISSUEDMAPERTAIYNTHINSURANCEERDEDAFFOBYTHEPOLICDESCRIBEDESNHEREIeISBJECTUALLTOETHTERMS,ANDEXCLUSIONS ITIONCOND S OF HSUC POLIC LES.ITSIM MASHOWN HAY BEENVE BYREDUCED DPAI CLAIN4S <br />R TYPE OF INSURANCE POLICY NUMBER LIMITS <br />X 0,000 <br />100,000 <br />5,000 <br />4,000,000 <br />s,000,0 <br />X 5,000,0 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />^'ff':i;LIMIT <br />PRO. <br />JECT <br />CLAIMS-[/ADE OCCUR X 34422 21412021 21412022 <br />LINlIT <br />E <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY NON.OWNED <br />AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />DED REIENTION $ <br />EA <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABIIITY <br />ANY PROPRIETORYPARTNER/EXECUTIVE <br />OFFICER/I/EIVIBER EXCLUDE D?(Mandatory in NH) <br />Y/Ntr <br />tf describe under <br />N/A <br />A <br />A <br />Errors <br />& Omissions <br />m X <br />X 850034422 <br />0034422 21 <br />21412021 <br />21412022 <br />21412022 5,000,000 <br />NOFoPERATIONS/LOCATIONS/VEHICTFS (ACOBD'l0l,AdditionalRemarksschedule,maybeattachedifmorespaceisrequired)holder is additional insured per attainea form OlS-+e7 <br />DESCRIPTIO <br />Kittitas County <br />205 W sth Ave, Ste 105 <br />Ellensburg, WA 98926 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREO INACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />\\rNNr\N\"- <br />O 1988-2015 ACORD CORPORAT|ON. Ail rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />ACORD 2s (2016t03)
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