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--A,CORD"9- <br />PROWEST.Ol <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY} <br />10t3t2023 <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 CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE ISSUTNG TNSURER(S), AUTHORIZED <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 bo endo.sed. <br />lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may requlre an endorsement. A statement on <br />this certificate does not confer rights to the cortificate holder in lieu of such endorsement(sl. <br />PRODUCER <br />First National lnsurance Seruices <br />P.O. Box 520 <br />Walker, MN 56484 <br />675-3454 5474721 <br />INSURERISI AFFORDING COVERAGE NAIC { <br />INSURER A . SECUTA 22543 <br />INSURED <br />Pro.West & Associates, lnc. <br />PO Box 812 <br />Walker, MN 56484 <br />INSURER B :ThE HATtfOTd SCIC 29424 <br />INSURER C : <br />INSIIRER D : <br />INSURER E : <br />INSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD <br />INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTMCTOROTHERDOCUMENTWTHRESPECTTO\A'I-IICHTHIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSUMNCE AFFORDED BY THE POLICIES DESCRIBED HEREINISSUBJECTTOALLTHETERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO\AN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />YD TYPE OF INSURANCE ADDLINID SUBF POLICY NUMBER POUCY EFF POLICY EXP LIMITS <br />A x COMMERCAL GENERAL LIABILITY <br />CLAIMS-IUADE OCCUR <br />LIMIT APPLIES PER: <br />ffei l-1lo"x <br />x x 8P2067931 4t3t2023 4t3t2024 <br />FANH NNNI IRRFNNF $ 1,000,000 <br />t <br />E $100,000 <br />MFn FYP /Ahv 6na har.^n\s 5,000 <br />PFtrSONAI R AN\/ IN II IPY c 1,000,000 <br />NFNtrRAI AGNPFEATF $2,000,000 <br />PRODUCTS - COMP/OP AGG $2,000,000 <br />$ <br />A AI,JTOMOBILE LIABILITY <br />ANY AUTO <br />O\^AED <br />AUTOS ONLY <br />HIRED <br />AI.JTOS ONLY <br />SCHEDULED <br />AUTOS <br />NONO\^JT{ED <br />AUTOS ONLYXX <br />43144607 4t3t2023 4t3t2024 <br />s 1,000,000 <br />BODILY INJLIRY (Per Dereonl $ <br />BODILY INJLJRY (Per accidantl s <br />$ <br />A x UMBRELLA LIAB <br />EXCESS LIAB <br />x OCCUR <br />CLAIMS.MADE cu3134366 4t3t2023 4t3t2024 <br />EACH OCCIJRRFNCF s 4,000,000 <br />AGGRFGATF s 4,000,000 <br />DED X RETENI9N$ 10,000 Personal & Adv.$4,000,000 <br />B WORKERS COMPENSANON <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED?(Mandaiory ln NH) <br />lf yes, describ6 under <br />DESCRIPTION OF OPERATIONS below <br />N N/A <br />IIWECAD2ERO 6t30t2023 6t30t2024 <br />x PERqTATI ITF X OTH-FP <br />F I trA(:H ACCINFNT $500,000 <br />FI NISFAqF - FA FMPI OYFF $500,000 <br />FI DICFASF - Pr)I ICV I IMIT $500,000 <br />DESCRIPTIONOFOPERAIONS/LOqAIQNS/VEHICLES {ACORDl0t,AddltionalRemarksSchedule,msybeattachedifmoreEpacelsrequlred}Kittitas County is named as additional insured is required by written contract <br />Kiftitas County <br />205 W sth Avenue, 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 />{st't(j( <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />The AGORD name and logo are registered marks of ACORD <br />ACORD 25 (2016/03)