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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />osltol22
<br />THIS CERTIFICATE IS ISSUED AS A MAfiER 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 tSSUtNG TNSURER(S), AUTHORTZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />lMPoRTANT:lfthecertificateholderisanADDlTloNALlNsuRED,thepoticy(ies)musthaveADDlTloN
<br />!f SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain 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 />SCHULTZ AGENCY/WORLDWIDE INSURANCE NETWORK
<br />12014 NE l32nd Ct.
<br />Kirkland wA 98034
<br />N ffii?"' Tony Schultz
<br />P
<br />{
<br />A
<br />206-949-6002 888-234-75 I 8
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />lNsuRER A : SCOTTSDALE INSURANCE COMPANY 41297
<br />INSURED
<br />LAND DEVELOPMENT CONSULTANTS, INC
<br />20210 142ND AVE NE
<br />wooDtNVtLLE,WA 98072
<br />lNsuRER B: HARTFORD CASUALTY INSURANCE COMPANY 29424
<br />INSURER C
<br />INSURER D
<br />INSURER E
<br />INSURER F:
<br />CERTIFICATE NUMBER:REVISION NUMBER:
<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 />INDICATED. NOTWTHSTANDING ANY REQUIREMENT, 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 SHO\IN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER {MM/DDIYYYYI .MM'DD/YYYYI LIMITS
<br />EACH OCCURRENCE $2,000,000
<br />$300,000
<br />MED EXP (Any one person)10,000
<br />PERSONAL & ADV INJURY 1,000,000$
<br />GENERAL AGGREGATE $2,000,000
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />B
<br />COMMERCIAL GENERAL LIABILITY
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PoL,cY lTltffi E
<br />CLAIMS-MADE OCCUR
<br />LOC
<br />22SBAVW6890 07/08/2021 07lo8/2022
<br />$
<br />l,000,000$
<br />BODILY INJURY (P€r person)$
<br />BODILY INJURY (Per accident)$
<br />$
<br />B
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />o\ n{ED
<br />AUTOS ONLY
<br />HIRED
<br />AUTOS ONLY
<br />22UECBHI784 07t08t202t 07108/2022
<br />$
<br />x r EACH OCCURRENCE $ 5,000,000UMBRELLA LIAB
<br />EXCESS LIAB
<br />OCCUR
<br />CLAIMS-MADE AGGREGATE $ 5,000,000B
<br />DED K RETENTIoN$ 10,000
<br />22SBAVW6890 071081202t 07108/2022
<br />$
<br />K STATUTE EF
<br />n-
<br />E.L, EACH ACCIDENT $1,000,000
<br />E.L. DISEASE. EA EMPLOYEE $1,000,000
<br />B
<br />WUKl(tsKs UUMPENSA II(,N
<br />AND EMPLOYERS' LIABILITY
<br />{NY PROPRIETOR/PARTNER/EXECUTJVE
<br />)FFICER/MEMBER EXCLUDED?N
<br />lMandatory ln NH)
<br />f yes, describe under
<br />]ESCRIPTION OF OPERATIONS below
<br />Y/N
<br />N/A WA STOPGAP 07108t2021 07/08/2022
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />A/B
<br />Professional Liability
<br />Inland Marine Policy 22M52G9107 JES0000063 0710812021 07/08t2022
<br />Each Occurance
<br />General Aggregate
<br />2,000,000
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarls Schedule, may be attached lf more Bpace is required)
<br />PSA - RESOLUTION 2022-13 IMPLEMENTATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />KITTITAS COUNTY
<br />205 WEST sTH AVE, STE 108
<br />ELLENSBURG WA 98926
<br />AUTHORIZED REPRESENTATIVE
<br />ANTHONY SC,TIULTZ
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORDACORD 25 (20't6t03l
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