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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5t15t2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPOTRTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Wharton/Lyon & Lyon PO Box 1660 Livingston NJ 07039 License#: BR-787709 CONTACTNAMF:Sophia Nikolaidis PHONE 973-863-2805 snikolaid a ce.com INSURERISI AFFORDING COVERAGE NAIC # TNSURERA r Philadelphia lndemnity lns Co 1 8058 INSURED Amyotrophic Lateral Sclerosis Assoc. 1300 Wlson Blvd., Ste 600 Arlington VA222Og tNsuRER B, Markel lnsurance companv 38970 INSURER C : INSIJRER D : INSURER E : INSI.JRER F : COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:I 404ZtlJ, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ITF rYPE OF INSURANCE PrlI I(:Y NIIMBFR POLICY EFFfMM/NNMYYI POLIGY EXPrMM/nntwYYl LIMITS X COMMERCIAL GENERAL LIABILITY CLAII\,'lS-lilADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: ,or,." fl !["o;LOC X X PHPK2595465 9t1t2023 9t1t2024 EACH OCCURRENCE $ 1.000.000 $ 1,000,000 IVlED EXP (Anv one Derson)$ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2.000,000 PRODUCTS . COIVIP/OP AGG $ 2.000.000 $ AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONIY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLYXX PHPK2595465 91112023 91112024 $ 1,000,000 BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ 1,000,000 $ $ UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS-IV1ADE PHUB879O92 91112023 91112024 EACH OCCURRENCE $ 7,000,000 X AGGREGATE $ DFI)X RETENTION$ rn nnn $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRI ETOR/PARTN ER,/EXECUTIVE OFFICER/MEI\4BEREXCLUDED? (Mandatory in NH) lf yes, describe under DEScRIPTIoN oF OPERATIONS below Y/NE N/A PIR STATI ITF otH- FR E.L. EACH ACCIDENT $ E.L. DISEASE. EA EMPLOYEE $ E L DISEASE. POLICY LIMIT $ B Excess Liability Excess Liability Occurrence Form MKLM.I ELJEl OOS3O 91112023 91112024 $8000000 xs $7000000 $8000000 xs $7000000 Primary ea Occ Primary Agg DESCRTPTTON OF OPEtt/ATIONS / LOCATIONS / VEHICLES (ACORD l0'1, Additional Remarks Schedule, may be attached if more space is required) Coverage is subject to policy terms, conditions, and exclusions. RE: Ride to Defeat ALS - Washington Chapter Augusl3, 2024 lron Horse Trail Kittatas County is included as an -additional insured on a primary noncontributory basis for commercial general liability when required by written contract. CERTIFICATE HOLDER CANCELLATION Kittatas County Commissioners 205 West 5th, Suite 108 Ellensburg WA 98926 United States SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0/"/, t /r/,.r O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)