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ACORO® EVIDENCE OF PROPERTY INSURANCE <br />DATE (MM/DD/YYYY) <br />DEDUCTIBLE <br />10/20/2022 <br />THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. <br />AGENCY PHOWC.NE <br />N :425 586-1002 <br />Earth Movement <br />$25,000,000 <br />Starr Surplus Lines Insurance Company <br />Arthur J. Gallagher Risk Management Services, Inc. <br />399 Park Avenue 8th Floor <br />777 108th Avenue NE, #200 <br />New York, NY 10022 <br />Bellevue, WA, WA 98402 <br />$100,000 <br />nIC No 425-451-3717 AX ..ESS: ste hen erni@ajg.com <br />CODE: SUB CODE: <br />AGENCY <br />CUS MEE ID <br />INSURED <br />LOAN NUMBER <br />POLICY NUMBER <br />Kittitas County <br />205 West 5th Ave., Suite 107 <br />SLSTPTY11682822 <br />EFFECTIVE DATE <br />EXPIRATION DATE <br />Ellensburg WA 98926-2887 <br />CONTINUED UNTIL <br />10/01/2022 <br />10/01/2023 <br />TERMINATED IF CHECKED <br />THIS REPLACES PRIOR EVIDENCE DATED: <br />PROPERTY INFORMATION <br />LO CATIO NIDES C RI PTI ON <br />On File <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />rnVFRAr:F INFr1RMATInPd D9=D11 a 1KICi iD�n I IDAC11 I I -- I X <br />COVERAGE I PERILS I FORMS <br />AMOUNT OF INSURANCE <br />DEDUCTIBLE <br />All Risk, including Earthquake and Flood, Equipment Breakdown and Terrorism <br />LENDER'S LOSS PAYABLE LOSS PAYEE <br />LOAN # <br />Blanket Limit, Special Form Coverage, Replacement Cost subject to terms and conditions of the policies. <br />$25,000,000 <br />$100,000 <br />Earth Movement <br />$25,000,000 <br />2%/$100,000 <br />Flood <br />$25,000,000 <br />See below <br />Leased, Rented or Borrowed Property/Equipment - Each <br />$750,000 <br />$100,000 <br />mr-i AnnJ linumuing J eclat l.onumonS <br />The Flood deductible is $100,000 except in SFHA zones, where the deductible is excess of the NFIP limit, whether carried or not. <br />Carrier Participations: Allied World Assurance Company #0307-0115-1A; Westchester Surplus Lines #D37390471-010; Everest Indemnity Insurance Company <br />#CA3P00696-221; Starr Surplus Lines #SLSTPTY11682822. <br />Washington State Parks and Recreation Commission Subrecipient Grant Agreement: Agreement No. MLE 123-343 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />ADDITIONAL INTEREST <br />NAME AND ADDRESS <br />ADDITIONAL INSURED <br />MORTGAGEE <br />LENDER'S LOSS PAYABLE LOSS PAYEE <br />LOAN # <br />Washington State Parks Commission <br />PO Box 42650 <br />AUTHORIZED REPRESENTATIVE <br />Olympia, WA 98504-2650 <br />r <br />ACORD 27 (2016/03) ©1993-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />