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OATE (MMiDD'YYYY} <br />8/LL/2022 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 TNSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPoRTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SUBROGATION lS WAIVED, subject to <br />thetermsandconditionsofthepolicy,certainpoliciesmayrequireanendonsement. Astatementonthiscertificatedoesnotconferrightstothe <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Leavitt Recreation & Hospitality <br />942 LAE}I Street <br />Sturgis sD 57785 <br />,til1 DeII <br />(800) 52s-2060 <br />j i11-de110 leavitt. com <br />le66',465-2191 <br />INSURER(SI AFFORDING COVERAGE NAIC # <br />|NSURERA:Western National Insurance ComDanv 15377 <br />INSURED <br />First Things First, LLC <br />dba The Patch <br />5181 Wilson Creek Rd <br />Ellensburg WA 98925 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURFR E : <br />INSURER F <br />ACoG\-'-CERTIFICATE OF LIABILITY INSURANCE <br />CERTIFICATE NUMBER:22-23 POI <br />CANCELLATION <br />1988-20{4 <br />REVISION NUMBER:COVERAGES <br />CERTIFICATE HOLDER <br />ACORD 25 (2014tO11 <br />lNS025 lzotloty <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, NOTWTHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWTHRESPECTTOWHICHTHIS <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 />NSR <br />TO TYPE OF INSURANCE POLICY NLTMBFR <br />POLISY EFF LIMITS <br />A <br />x COMMERCIAL GENERAL LIABILITY <br />CLAIMS.MADE OCCUR <br />GEN'L AGGREGATE LIIMIT APPLIES PER: <br />x POLICY <br />OTHER: <br />PRO- <br />JECT LOC <br />x <br />x cPP 1283856 00 4/75/2022 4/1,5 / 2023 <br />EACH OCCURRENCE $1 ,000 , 000 <br />PPtrirleFS /Ft ^.."ran.c\$100,000 <br />MED EXP (Anv one Derson)$ Excluded <br />PERSONAL & ADV INJURY $1,000,000 <br />GENERALAGGREGATE $3,000,000 <br />PRODUCTS. COMP/OPAGG $3 ,000 , 000 <br />Cyber $50 , 000 <br />AUTOMOBILE LIABILITY <br />ANYAUTO <br />ALL OWNED <br />AUTOS <br />SCHEDULED <br />AUTOS <br />NON-OWNED <br />AUTOSHIRED AUTOS <br />COMBINED SINGLE LIMIT $ <br />BODILY INJURY (Per person)$ <br />BODILY INJURY (Per accident)$ <br />$ <br />$ <br />UMBRELI.A LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS-MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DFD RFTFNTION S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOFYPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />lfyes, describe under <br />DESCRIPTION OF OPERATIoNS below <br />I N'A <br />tstrK <br />STATI ITF <br />9l n- <br />trP <br />E,L, EACH ACCIDENT I <br />E,L, DISEASE - EA EMPLOYEE s <br />E,L, DISEASE. POLICY LIIVIT $ <br />OESCRIPIIONOFOPERATIONSTLOCATIONSTVEHICLES (ACORDl0l,AdditionalRemarksSchedule,msybeattachedifmoE3pa@isrequiEd) <br />IT IS T'NDERSTOOD AI{D AGREED THAT THE CERTIFICATE HOLDER IS NAI4ED AS ADDITIONAL INSURED, BUT ONLY WITH <br />RESPECT TO ITS LI,ABILITY ARISING OUT OF TIIE ACTIVITIES OF THE NAI{ED INSURED. <br />Location:5181 Wilson Creek Rd, Ellensburg, WA, 98926 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Kittitas County <br />205 I.r Sth Ave Suite #108 <br />Ellensburg, WA 98926 <br />AUTHORIZED REPRESENTATIVE <br />Kim Ayers/MISHAE ww <br />The ACORD name and logo are registered marks of ACORD <br />CORPORATION. All rights reserved.