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COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <br />CERTIFICATE NUMBER:REVISION NUMBER: <br />DATE (MM/DDfYYYY) <br />01t16t2024 <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 I.IEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: lf the certificate holder is an ADDITIONAL <br />lf SUBROGATION lS WAIVED, subject to the terms and <br />INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate llolder in lieu of such endorsement(s). <br />PRODUCER <br />StateFarm Bruce Sears <br />105 South 1st Street&, <br />Selah wA 989420669 <br />Bruce Sears <br />509-697-4900 <br />INSURER(SI AFFORDING COVERAGE NAIC # <br />TNSURERA; State Farm Fire and Casualtv Comoanv 25143 <br />INSURED <br />CRIME STOPPERS OF YAKIMA COUNTY INC <br />PO BOX 1 1056 <br />YAKIMA wA 989092056 <br />INSURER B <br />INSIJRER C : <br />INSURER D: <br />INSURER E : <br />INSURER F : <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 REQUIREIVIENT, TERIVI OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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. LIIV]ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INIK <br />LTR TYPE OF INSURANCE tNsn <br />SUtsWD POLICY NUMBER tsULIGY EtsF <br />IMM'DD/YYYYI <br />POLIGY EXPIMM/nnffir LIMITS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />.LATMS-MADE X o""r* <br />GEN'L AGGREGATE LIIUIT APPLIES PER <br />POLICY <br />OTHER: <br />n PRo- tl-7]I ilecr !\lLoc <br />Y N 98-BJ-G478-3 07to1t2023 07101t2024 <br />EACH OCCURRENCE s 2,000,000 <br />s 300,000 <br />[rED EXP (Any one pe6on)$ 5,000 <br />PERSONAL & ADV INJURY s 2,000,000 <br />GENERAL AGGREGATE s 4,000,000 <br />PRODUCTS - COI\4PlOP AGG s 4,000,000 <br />$ <br />AUTOMOBILE 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 />UUMBINTU SINULE LIMII <br />$ <br />BODILY INJURY (Per person)$ <br />BODILY INJURY (Per a@ident)U <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS.MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTION $ <br />WORKERS COMPENSANON <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORYPARTNER/EXECUTIVE YTN <br />OFFICER/IUEMBER EXCLUDED? <br />(Mandatory in NH) <br />lf yes, describe under <br />DFSCRIPTION OF OPFRATIONS halnw <br />N TA <br />PER <br />CTATI ITE <br />UIH. <br />$ <br />E.L. EACH ACCIDENT <br />E.L, DISEASE - EA EMPLOYET $ <br />E,L, DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATTONS / VEHICLES (ACORD l0l, Additional Remarks Schedule, roy be attached if more space is requiredl <br />LOCATION: 128 N 2ND ST, YAKIMA, WA 98901 <br />YOUR CANNYON FOR A DAY RIDE <br />ADDITIONAL INSURED - CERTIFICATE HOLDER: KITTITAS COUNTY, WASHINGTON STATE PATROL, DEPT OF TMNSPORTATTON, BUREAU OF <br />LAND MANAGEMENT, US GOVERNMENT AND "The United States Department of the lnterior-BlM, WSDOT 2809 Ructkin Rd, Union cap, WA 98903 is <br />additionally insured." <br />TION <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />The AGORD name and logo are registered marks of ACORD <br />100'1486 2005 155279 205 01-19-2023 <br />SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE IIVITH THE POLICY PROVISIONS. <br />ELLENSBURG wA 98926-2887 <br />KITTITAS COUNTY <br />205 W sTH AVE STE 108 <br />AUTHORIZED REPRESENTANVE <br />a--4r'J-_- <br />This form was system-generated on 0111612024 <br />ACORD 25 (2016/03)