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---oli BAXTCON-02 133M I- <br />ACORQ° DATE (MMIDDNYYY) <br />�� CERTIFICATE OF LIABILITY INSURANCE 6/3/2024 <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 Ileu of such endorsement(s). <br />PRODUCER CO TACT <br />Hub International Northwest LLC cN , Ex<; (509 965-2090 AIC No :(509) 966-3454 <br />P.O. Box 10088 <br />Yakima, WA 98909 <br />INSURED <br />Baxter Construction, LLC <br />2621 River Rd <br />Yakima, WA 98902 <br />INSURER F <br />Enumclaw <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 />TYPE OF INSURANCE <br />A X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE fX� OCCUR <br />LAGGREGA E LIMIT APPLIES PER: <br />POLICY noT LOC <br />B I AUTOMOBILE LIABILITY <br />POLICY NUMBER <br />F76344232AEM <br />A ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOSyyyy��,�� pp <br />AUTOS ONLY ALLII OJThkY <br />A I X I UMBRELLA UAB I X I OCCUR <br />EXCESS LIAR CLAIMS -MADE <br />DED RETENTION $ <br />YIN <br />DI NIA <br />6/21/2023 1 6121/2024 <br />612112023 1 6/21 /2024 <br />6/21/2023 1 6/21/2024 <br />Stopgap <br />LIMITS <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddNlonal Remarks schedule, may he aRached N Mato apace Is required) <br />Kittitas County Is named as Additional Insured perform #CG2010 (04-13) attached. Cancellation Provisions apply per form #SSSARECIL004 0221. <br />CERTIFICATE HOLDER f CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Kittitas County ACCORDANCE WITH THE POLICY PROVISIONS. <br />205 W 5th Ave <br />Ellensburg, WA 98926 - <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016103) L ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />