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PSA Day Wireless
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2023
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02. February
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2023-02-21 10:00 AM - Commissioners' Agenda
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PSA Day Wireless
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Entry Properties
Last modified
3/1/2023 10:33:52 AM
Creation date
3/1/2023 10:33:36 AM
Metadata
Fields
Template:
Meeting
Date
2/21/2023
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
Item
Request to Approve a Professional Services Agreement between Kittitas County and Day Wireless
Order
14
Placement
Consent Agenda
Row ID
99860
Type
Agreement
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ACORif\-'-CERTIFICATE OF LIABILITY INSURANCE <br />CERTIFICATE NUMBER: 22l23 MasterCOVERAGES REVISION NUMBER: <br />DATE (MM/DD/YYYY) <br />2/3/2023 <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 GOVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSUtNG TNSURER(S), AUTHORTZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />lMPoRTANTlfthecertificateholderisanADDlTloNALlNsURED,thepolicy(ies)mustbeendorsed.lisUWectto- <br />thetermsandconditionsofthepolicy,certainpoliciesmayrequireanendorsement. Astatementonthiscertificatedoesnotconferrightstothe <br />certificate holder in lieu of such endorsement(s). <br />PROOUCER <br />The leavitt Group of Boise, Inc <br />6220 N. Discovery Way, Ste 100 <br />Boise rD 83713 <br />Robyn Greene <br />(2081 672-5760 (856) 429-3119 <br />robyn-greeneG leavitt . com <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />TNSURERA:National Union Fire Insurance ComDanv c oL9445 <br />INSURED <br />Day Management Corporation <br />dba Day Wireless Systems <br />4700 SE International Way <br />Milwaukie OR 97222 <br />TNSURERB : Navigators Specialtv Insurance Companv 3 5055 <br />tNsuRERc:New Hampshire fnsurance Companv 2344] <br />INSURERD:Scottsdale Insurance ComDanv 41297 <br />INSURER E: <br />INSURER F: <br />THIS IS TO THE POLICIES OF INSURANCE LISTED BELOW ED THE INSURED NAMEDABOVE FOR THE POLICY PERI <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 TOALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIIMITS SHO\\4! MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRITF TYPE OF INSURANCE POI ICY NIIMRFR POLICY EFF <br />IMMDDryYYY} <br />POLICY EXP <br />LIMITS <br />A <br />x COM IlIERCIAL GENERAL LIABILITY <br />CLAIMS-MADE x OCCUR <br />$0 Ded <br />GEN'L AGGREGATE LIM IT APPLIES PER: <br />POLICY x PRO.JECT I I LOC <br />X Y cL 5342023 4 / t /2022 4/7/2023 <br />EACH OCCURRENCE $1,000,000 <br />$500,000 <br />MED EXP (Any one person)$25 ,000 <br />PERSONAL & ADV INJURY $1 , 000,000 <br />GENERALAGGREGATE $2 , 000, 000 <br />PRODUCTS - COI/P/OP AGG $2 , 000 ,000 <br />$ <br />A <br />AUTOI/IOBILE LIABILITY <br />x ANYAUTO <br />ALL O!44{ED <br />AUTOS <br />SCHEDULED <br />AUTOS <br />NON.OWNED <br />AUTOSHIRED AUTOS <br />G 3786644 4/r/2022 4 / r /2023 <br />OOMBINED SINGLE LIMIT $2 , 000,000 <br />BODILY INJURY (Per person)$ <br />BODILY INJURY (Per accident)$ <br />$ <br />$ <br />B <br />x UMBRELLA LIAB <br />EXCESS LIAB <br />x OCCUR <br />CLAIIVS-MADE <br />cg22Excaas592rc 4 /7 /2022 4 /t/2023 <br />EACH OCCURRENCE $5 , 000 ,000 <br />AGGREGATE $5 , 000 ,000 <br />nFn x RETENIION $0 s <br />c <br />WORKERS COIVPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/IVIEIUBER EXCLTJDED? <br />(lrandatory in NH) <br />If yes, descrjbe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />wc 025893551 (AOS) <br />wc 0258935s2 (CA) <br />WA Stop Gap <br />4 / | /2022 <br />4/ r/2022 <br />4/L/2023 <br />4/7/2023 <br />x HEKqTATI ITF UIH. <br />E.L. EACH ACCIDENT $1,000,000 <br />E.L. DISEASE - EA EIV]PLOYEE $1 . 000 .000 <br />E L DISEASE - POI ICY I IMIT $l- . 000 .000 <br />D 2nd Excess Policy-Excess over <br />GI,. Auto & Employers Liability <br />x],s0123570 4 /7 /2022 4 /r /2023 5 x 5 Excess Layer Limil $5 .000 , 000 <br />DESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLES (ACORDl0l,AdditionalRemarksschedule,maybealtachedifmorespaceisrequired) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIMTION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Kittitas County <br />307 W Umptanum Rd <br />Ellensburg,, WA 98926 <br />AUTHORIZED REPRESENTATIVE <br />Ted Rice/ROGREE V*'-- <br />@ 1988-2014 ACORD <br />The ACORD name and logo are registered marks of ACORDACORD 25 (20't4t01l <br />lNS025 lzoraory <br />All rights reserved.
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