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DATE (MIVI/DD/YYYY) <br />4t6t2023 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTTFTCATE OF INSURANCE DOES NOT CONSTTTUTE A CONTMCT BETWEEN THE TSSUTNG 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 have ADDITIONAL INSURED provisions or be endorsed. <br />lf 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 />Hub lnternational Northwest LLC <br />PO Box 3018 <br />Bothell, WA 98041 <br />4894500 25 485-8489 <br />now .com <br />INSIIRFRISI AFFORDING C'IVFRAGF NAIC <br />' <br />INSURFR a , scottsdale lnsurance comoanv 41297 <br />INSURED <br />Off Camber Productions LLG dba NW Mountain Bike <br />c/o Russ Stevenson <br />5801 96th Ave SE <br />Mercer lsland, WA 98040 <br />INSIIRER B : <br />INSURER C <br />INSURER D <br />INSIJRER E: <br />INSURER F <br />--A,CORD'NWMOUNT-02 <br />CERTIFICATE OF LIABILITY INSURANCE <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVEBEENISSUEDTOTHEINSUREDNAIVEDABOVEFORTHEPOLICYPERIOD <br />INDICATED, NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTMCTOROTHERDOCUMENTWTHRESPECTTOWHICHTHIS <br />CERTIFICATE IVIAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREINISSUBJECTTOALLTHETERIVIS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIIVIITS SHO\AAI MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TO TYPE OF INSURANCE ADDL POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br />A x COMMERCIAL GENERAL LIABILITY <br />CLAIMS-IV]ADE OCCUR <br />5sJ^'ff":'J <br />X X cPs7749277 u4t2023 4t4t2024 <br />EACH OCCI]RRENCE $1,000,000 <br />DAI <br />PRF s 100,000 <br />MED EXP (Anv one oerson)5,000 <br />PFRSONAI & AN/ IN.IIIRY s 1,000,000 <br />GFNFRAI AGGRFGATF s 2,000,000 <br />PRONI JCTS - COMP/OP AGG s 2,000,000 <br />AUTOIVIOBILE LIABILITY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />NON.OWNED <br />AUTOS ONLY <br />COIVBINED SINGLE LII\4IT s <br />BODILY lN.ltJRY (Per oerson) <br />BODILY INJURY (Per amident)s <br />s <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS-IVADE <br />FACH 6"I IPPFNNF s <br />AGGRFGATF $ <br />DED RETENTION $s <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORYPARTNER/EXECUTIVE <br />OFFICEFYIiIEI/]BER EXCLUDED?(Mandatory in NH) <br />lf yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />PER.AATI ITE OIH- <br />FI FACH ACCINFNT s <br />F I DISFAStr FA FMPI OYFF $ <br />F I DISFASF - POI ICY I IMIT $ <br />DESCRIPTIONOFOPERATIONS/LOCATIONS/VEHICLES (ACORDl0l,Additional RemarksSchedule,maybeaftachedif morespaceisrequired) <br />Re: Subcontract Agreement. <br />Kiftitas County is included as additional insured and Coverage is Primary and non-contributory applies per the attached forms/endorsement <br />Kittitas County <br />205 West 5 , Suite 108 <br />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 />AUTHORIZED REPRESENTATIVE <br />& /h,,* <br />ACORD 25 (2016103l