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/-0*1 SCHUPOF-01 MMELT <br />A` OfR" CERTIFICATE OF LIABILITY INSURANCE DATEA /7CMn(MM/DDlYYYY) <br />f7 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS 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 CONTACT <br />NAME: <br />Paynewest Insurance - TAG PHONE FAX <br />14900 SW Barrows Rd, Ste 202 (A/c, No, Ext): (866) 276-3775 (A/C, No):(866) 215-5018 <br />Beaverton, OR 97007 E-MAIL <br />ADDRESS: <br />INSURED <br />Richard Schuknecht dba. Schuknecht's P.O.F Polygraph <br />Service <br />413 N 2nd Street <br />Yakima, WA 98901 <br />INSURER(S) AFFORDING COVERAGE NAIC p <br />INSURER A: Scottsdale Insurance Company 41297 <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBED* <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR LTR TYPE OF INSURANCE INSD ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP <br />LIMITS <br />A X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />4,000,000 <br />CLAIMS -MADE X OCCUR X RBS0116568 2/4/2023 2/4/2024 <br />DAMASESGE T RENTEDence) $ <br />PREMMED <br />100,000 <br />EXP (Any one person) $ <br />5,000 <br />PERSONAL & ADV INJURY $ <br />4,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ <br />5,000,000 <br />X POLICY jeo LOC <br />PRODUCTS - COMP/OP AGG $ <br />51000,000 <br />OTHER: <br />$ <br />A AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />1,000,000 <br />ANY AUTO RBS0115643 2/4/2022 2/4/2023 <br />BODILY INJURY (Per person) $ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />X HIRED X NON -OWNED <br />AUTOS ONLY AUTOS <br />PROPERTY DAMAGE <br />ONLY <br />(Per accident) $ <br />$ <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB CLAIMS -MADE <br />AGGREGATE $ <br />DIED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />STATUTE ER <br />ANY PROPRIETt/PARTNER/EXECUTIVE <br />gOEXCLUDED' N / A <br />E(R <br />(Mandatory <br />E L EACH ACCIDENT $ <br />In NH) <br />E L DISEASE - EA EMPLOYEE $ <br />Ir yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E L DISEASE - POLICY LIMIT $ <br />A Errors & Omissions X RBS0116568 2/4/2023 2/4/2024 <br />each claim <br />4,000,000 <br />A Errors & Omissions X RBS0116668 2/4/2023 2/4/2024 <br />aggregate <br />5,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) <br />Certificate holder is additional insured per attached form GLS-487 <br />Kittitas County <br />205 W 5th Ave, Ste 105 <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 />I%W*1 - <br />At:UKU 1S (ZU161U3) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />