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4754_001
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2024-04-02 10:00 AM - Commissioners' Agenda
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4754_001
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Last modified
3/28/2024 12:10:53 PM
Creation date
3/28/2024 12:09:46 PM
Metadata
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Meeting
Date
4/2/2024
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 a Special Event Application from Mark Peterson to host the Yakima County Crime Stoppers Bike Event on May 19th, 2024.
Order
6
Placement
Consent Agenda
Row ID
116262
Type
Special Event Application
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HJ <br />RENEWAL DECLARATTONS (CONTTNUED) <br />Businessowners Policy for CRIME STOPPERS OFPolicy Number -98-BJ-c478-3 <br />Coverage M - Medical Expenses (Any One Person) <br />Damage To Premises Rented To You <br />AGGREGATE LIMITS <br />Products/Completed Operations Aggregate <br />General Aggregate <br />Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable <br />annual period. Please refer to Section ll - Liability in the Coverage Form and any attacheii endorsements. <br />M 23851 <br />$s,ooo <br />$3oo,ooo <br />LIMIT OF <br />INSURANCE <br />$4,ooo,ooo <br />$4,ooo,ooo <br />I <br />Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other <br />forms and endorsements that apply, including those shown below as well as those issued subsequent to the <br />issuance of this policy. <br />FORMS AND FNDORSFMFNTS <br />cMP4102 <br />cMP4247.2 <br />cMP-4561.4 <br />FE-3661 <br />FE-6999.3 <br />cMP4804 <br />cMP-4705.2 <br />cMP-4709 <br />cMP4788 <br />cMP4791 <br />cMP477g <br />cMP-4860 <br />cMP4572 <br />FD-6007 <br />Businessowners Coverage Form <br />*Amendatory Endorsement <br />*Policy Endorsement <br />*Actual Cash Value Endorsement <br />*Terrorism lnsurance Cov Notice <br />Addl lnsd Club Members <br />Loss of lncome & Extra Expnse <br />Money and Securities <br />Addl lnsd Mgrs Lessor of Prem <br />Addl lnsd State Political Perm <br />Employers Liability <br />Al Design Person Org <br />Amendment of Premium Cond <br />lnland Marine Attach Dec <br />* New Form Attached <br />Prepared <br />MAY 08 2023 <br />cMP4000 <br />023853 294 <br />N <br />@ Copyright, State Farm Mutual Automobile lnsurance Company, 2008 <br />lncludes copyrighted material of lnsurance Services 0ffice, lnc., with its permission, <br />Continued on Reverse Side of Page Page 5 of 7
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