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ozt1312A25 <br />THIS CERTIFICATE IS ISSUEO AS A MATTER OF IIIFORMANON ONLY AND CONFERg ilO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AFFIRMATTVELY OR NEGATIVELY AIIIEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />poltctEs BELow. THts cERTtFtcATE oF tNsuRAt{cE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE ISSUING INSURER($}, <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERNFrcATE HOLDER. <br />IMPORTANT: lf the certlllcsto holdor lt an AoDITIONAL INSURED, tho pollcy(los) must bo endo6ed. lf SUBROGAnON|S WAlvED, <br />subroct lo the torms rnd condltlons of lho pollcy, certaln pollclo3 may roqulru an endorsomont. A shtomont on thl3 certlllcato does nol <br />confar rlght3 to tho cortlflcato holder ln llou of such ondo'lemont(s). <br />ilo): <br />PHOIIE <br />lArC.ilo,Eill: <br />E.iIAIL <br />ADDRESS: <br />rlrSuRERls) AFrOnOril6 COVERAGE l{Atcf <br />PaOOUCER <br />NUTMEG INS AGENCY INC/PHS <br />76210781 <br />The Hartford Buslnoss Service Center <br />3600Wseman Blvd <br />San Antonlo, TX 78251 <br />II|SURERA: HarlfordUndeMrlterslnsuranceCompany 301(X <br />ItlStlREF E r <br />IilSURER C r <br />]IISURER O : <br />lllSUREiE l <br />I'IEUREO <br />LEP$PSS PLLC DBA PubllcSafety Psychological <br />20818 44TH AVE W STE 150 <br />LYNNWOOD WA 9803F7734 <br />IilSURER F I <br />CERTIFICATE OF LIABILITY INSURANCE <br />@ 1988-2015 AGORD CORPORATIOII. All rlghts ttsowed. <br />The ACORD nsmo end logo an reglslorod merts of AGORD <br />THIS IS TO CERTIFY THAT fiE POLICIES OF INSURANCE LISTEO BELOW HAVE EEEN ISSUED TO THE INSUREO NAMEO ABOVE FOR THE POLICY PERIOD <br />INDICATEO.NOTWITHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES OESCRIBEO HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES" LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAIO CLAIMS. <br />tngt <br />IE TYPE OF IIIST'RANCE ADOI.|lre SUERm FOLICY TUflAER P(,LEI EFF <br />iltllrlln YYrYt <br />FT'LIGY EIF <br />TSI'DN'Y Y}YI Lt1?3 <br />EACH OCCURRENCE s2,000,000 <br />9AMA(jt 1(,fitsNlEu <br />illFrif*lF s*e!l $1,000,000 <br />X <br />COMMERCIAL GENERAT LNAIL|TY <br />MEO EXP (Any on€ pd,8ofl)sr0,000 <br />PERSO'{AL I ADV INJTJRY $2,000,000 <br />GENERALAGGREOITE $4,000,000 <br />PROOI'CTS - COMP/OPAGG $4,000,000 <br />A <br />x <br />GENI- AGGREGATE L|MIT APPLIES PER:fl.*PRG <br />JECT <br />X 76 SBU BB2KAT 05121t2024 0512112025 <br />COMSINED SINGLE LIMIT $2,000.000 <br />EOOILY INJURY (Por porson) <br />EODILY INJURY (Psr ecddonl) <br />PffOPERTY I'AMASE <br />(Pordontl <br />76 SBU BB2KAT 05t21t2024 05121t2025A <br />AUTOilOSILE LIASILITY <br />AI'IY AUTO <br />ALLOWNED <br />AUTOS <br />HIRED <br />AUTOS <br />SCHEOULEO <br />AUTOS <br />NON{WNED <br />AWOSXx <br />EACH OCCURRENCE s1.000.000xx <br />AGGREGAIE $1,000,000 <br />UTANELLA LIAB <br />EXCESS LIAB <br />occr,rR <br />CLAIMS. <br />MADE <br />$ 10.000 <br />76 SBU BB2KAT 0512112024 05t21t2026A <br />l,Et{ <br />STATIfiF <br />t0tH- <br />lro <br />E.I" EACHACCIDENT <br />E,L. DISEASE .EA EMPLOYEEilrA <br />E.t. OISCASE . POLICY LIMIT <br />WORf,ERS GSTFEf,SATIO'I <br />A}IO EXPLOYERS'UABIUW <br />ANY <br />PROPRIETORAARIT'.IER/EXECUTIVE <br />Of FICER/MEMBER EXCTUDED? <br />lftlxlltorylnilil) <br />Ityos. dorcdbo und6r <br />rlFSCRlFilON OF OPERATIONS bdLs <br />f <br />Employment Practices Liability <br />lnsurance <br />76 SBU BB2KAT 0512112024 05121t2025 <br />Each Claim Llmlt <br />Annual Aggregate Limit <br />$25,000 <br />$25,000A <br />oetcnFnoryofoPEnAfEntstLoclftoils/yE flctEs (AcoRD l0l, Add{on.l Rrml,t! sch.dulr. m.yb..ttdr.d Itmol!rgrcr Ir <br />'lqulnd}Those u$ual to lhe lnsured's Operations. Notic€ of Canc€llatiofl will be provided in accordance wlth Form SL 90 13, attached to lhis policy. Coverage is <br />prlmary and noncontributory per the Buslness Liability Coverage Form SL 30 32, altached to lhls pollcy. Genificat€ holder ls an additlonal insured per <br />lhe Businoss Liabllity Coverage Form SL 30 32. attadred to this policy. <br />SHOT'LD ATIY Of lHE AAOVE OESCRIBED POUCIES BE CANCELLEO <br />BEFORE IHE EXHRANOT DATE THEREOF, ilONCE U'ILL BE DEUVERED <br />N ACCOROA||CE Wm{ rHE POUCY PROVlSlOllS. <br />Kitulas County <br />205 W sTH AVE STE 108 <br />ELLENSBURG WA 9892&2887 <br />droaa.f Caafur-a--> <br />AUTHORIEO REFREsEII'ATIYE <br />ACORD 25 (2018/031