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SH23-037 PSA
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2023-12-19 10:00 AM - Commissioners' Agenda
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SH23-037 PSA
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Entry Properties
Last modified
12/14/2023 12:18:43 PM
Creation date
12/14/2023 12:14:46 PM
Metadata
Fields
Template:
Meeting
Date
12/19/2023
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve the Professional Services Agreement between Kittitas County and Day Wireless
Order
9
Placement
Consent Agenda
Row ID
112272
Type
Agreement
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ACCWZ Or CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />12/5/2023 ) <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Robyn Greene <br />Leavitt Group of Boise <br />AIC_ PHONE t (208) 672-6160 F� No: (866) 429-3119 <br />E-MAIL <br />ADDRESS: robyn-greene@leavitt.com <br />6220 N Discovery Way, Ste 100 <br />INSURERS AFFORDING COVERAGE <br />NAIC 0 <br />PO Box 140018 <br />INSURER A: National Union Fire Insurance Company c <br />19445 <br />Boise ID 83713 <br />INSURED <br />INSURER B:Navigators Specialty Insurance Company <br />36056 <br />INSURERC:New Hampshire Insurance Company <br />23841 <br />Day Management Corporation <br />INSURER D: Scottsdale Insurance Company <br />41297 <br />dba Day Wireless Systems <br />INSURERE: <br />4700 SE International Way <br />INSURER F: <br />Milwaukie OR 97222 <br />COVERAGES CERTIFICATE NUMBER:23/24 Master REVISION NUMBER: <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 CONTRACTOR 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 THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MMIDOrt'VVY <br />POLICY EXP <br />MMIDD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />PREMISES DAMAGE TO RENTED Ea occurrence <br />$ 500,000 <br />MED EXP (Any one Person) <br />$ 25,000 <br />$0 Ded <br />X <br />Y <br />GL 5342023 <br />4/1/2023 <br />4/1/2024 <br />PERSONAL 8 ADV INJURY <br />$ 2,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER <br />POLICY a JECOT 7 LOC <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />S <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />S 2,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />AALL <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS AUTOS <br />CA 3786644 <br />4/1/2023 <br />4/1/2024 <br />BODILY INJURY (Per accdent) <br />S <br />NON -OWNED <br />HIREDAUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />S <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 5,000,000 <br />_ <br />AGGREGATE <br />$ 5,000,000 <br />B <br />EXCESS LIAB <br />CLAIMS -MADE <br />DIED I X I RETENTION $ 0 <br />S <br />CH23EXC885592IC <br />4/1/2023 <br />4/1/2024 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />WC 02569365I (AOS) <br />4/1/2023 <br />4/1/2024 <br />X STATUTE ERH <br />E.L. EACH ACCIDENT <br />S 1,000,000 <br />C <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICERMEMBER EXCLUDEDI FN <br />(Mandatory in NH) <br />If yes descnbe under <br />N!A <br />WC 025893652 (CA) <br />WA Stop Gap <br />4/1/2023 <br />4/1/2024 <br />E.L DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE. POLICY LIMIT <br />S 1,000,000 <br />D <br />2nd Excess Policy -Excess over <br />XLS2001729 <br />4/1/2023 <br />4/1/2024 <br />Each Occurrence $5,000,000 <br />GL, Auto 6 Employers Liability <br />Aggregate $5,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space's required) <br />Kittitas County Sheriff Office <br />CERTIFICATE HOLDER CANCELLATION <br />Kim.dawson@co.kittitas.wa.us <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Kittitas County Sheriff <br />307 West Umptanum Rd <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Ellensburg, WA 98926 <br />AUTHORIZED REPRESENTATIVE <br />Ted Rice/RGGREE <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) <br />INS025 (201401, <br />The ACORD name and logo are registered marks of ACORD <br />
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