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COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <br />CERTIFICATE UMBER:REVISION NUMBER: <br />@ 1988-201S ACORD CORPORATION. Ail rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />DATE (MM/DD/YYYY) <br />THIS CE RTIFICATE IS IS SUE D AS A MA TTER o F INFORMATIO N ONL Y AND co NFERS NO RIG HTS U PON THE c ERTIFICAT E H OL OER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THEPOLICIESELOWTHIScERTIFICATEOFNSURANCEDOESNOTCONSTITUTEACONTRACTETWEENTHEISSUINGINSURER(s)AU THORIZE D REP RES ENTATIVE OR PRO DUCER,AN D TH E c ER TIFICATE HOLDER. <br />IMPO RTANT:tf the certifi cate holder ts an ADDITIONAL tNs URED,th p licy(ies )must be endorsed lf S UBROGA TIONIS WAIVED,subject to the terms nd cond itions of the pol cy,certai n polici es may require n endorsemenl.A statem ent on th rs certifi cate does otconferrightstothecertificateholdnerlnIteuuchendoment(s <br />PRODUCER <br />NUTMEG INS AGENCY INC/PHS <br />76210781 <br />The Hartford Business Service Center <br />3600 Wiseman Blvd <br />San Antonio, fX78251 <br />PHONE <br />(A/C, No, Ext) <br />(888) 925-31 37 FAX <br />(AJC, No): <br />E-MAIL <br />ADDRESS; <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURED <br />LEPS-PSS PLLC DBA Public Safety psychotogical <br />20818 44TH AVE W STE 150 <br />LYNNWOOD WA 98036-7734 <br />INSURERA: Sentinel lns urance Company Ltd.1 1000 <br />INSURER B <br />INSURER C : <br />INSURER D <br />INSURER E <br />INSURER F <br />NOTWITHSTAN <br />ISTHIS CERTIFYTO TTHA POLICIESTHE OF SURANCEN ISTEDL HAVEBELOW EEN UISS ED TO INSUREDTHE NAM FOABOVE THER POLICY PERIODDINTED.ICA ANYNG R EQUIREME TENT oRM R COND ONtTr Fo ANY CONTRACT OTHEROR ENTDOCUI\4 RESPECTWITH TH ISWHtcHTOTtr^troTttrtaA tcBE ett <br />OTtrVNUEU rULITHE trJU'KIUtrDU HtsKEII!btru bU IUBJECT THEALLLUSIONTERMS,ANDs lTtCOND OFONS UCS POLIH ES.ct LIMITS SHOWN YMA HAVE REEEN U BYCED CLAIIVPAID S <br />TYPE OF INSURANCE POLICY NUMBER EXP LIMITS <br />EACH OCCURRENCE <br />TO $1,000,000 <br />X General Liability <br />R <br />COMI\,1ERCIAL GENERAL LIAB ILIry <br />CLAII/S-MADE <br />MED EXP (Any one person)$1 <br />INJURY 000,000 <br />GENERAL AGGREGATE 000,000 <br />PRODUCIS - COMP/OP AGG $4,000,000 <br />A <br />X <br />GEN'L AGGREGATE LI[4IT APPLIES PER: <br />LOCPOLICY <br />OTHER: <br />PRO- <br />JECT <br />X 76 SBU BFOO17 05121t2022 0512112023 <br />$2,000,000 <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) <br />X <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />HIRED <br />AUTOS <br />SCHEDULED <br />AUTOS <br />NON-OWNED <br />AUTOS <br />76 SBU BFOO17 05121t2022 0512112023 <br />X EACH OCCURRENCE ,000,000UMBRELLA LIAB <br />EXCESS LIAB CLAIiVIS- <br />I\4ADE AGGREGATE $1,000,0A <br />X RETENToN $ 1 0,000 <br />76 SBU BFOO17 05t2112022 05121t2023 <br />E.L. EACH ACCIDENT <br />E.L. DISEASE -EA EMIPLOYEE <br />AND EMPLOYERS' LIABILITY <br />ANY <br />PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />lf yes, describe under <br />TION <br />N/A <br />E.L. DISEASE. POLICY LIMIT <br />A EMPLOYMENT PRACTICES <br />LIABILITY 76 SBU BFOO,IT 05121t2022 05t2112023 Each Claim Limit <br />Aggregate Limit $10,000 <br />$10 <br />OFDESCRIPTION OPERA rrolvs L rroilsoeA VEHICLES Additional(ACoRD Remarks edSch bemayule,attached moreif tsspace tequ ired) <br />usualThose theto NS ured's holdeCertificate IS anOperations.additional uredlns the Bu SINESS Coveper SSOOOBFormLiabilityrage toattached this <br />ts and noncontripolicyCoveragepnmary Bthe usrnessbutorype Form JJLiabilityCoverage atta toched ISth ofNotice willationtcypolCan <br />tn accordan with Form QC 22 toattached thiprovided3,policy <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAI.ICELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />Kittitas County <br />205 West 5th Avenue Suite 108 <br />Ellensburg WA 98926 <br />aftaa.,.f /aafrn -a:-^, <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03)