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Crime Stoppers Application
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04. April
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2025-04-01 10:00 AM - Commissioners' Agenda
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Crime Stoppers Application
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Last modified
3/27/2025 12:05:00 PM
Creation date
3/27/2025 12:04:13 PM
Metadata
Fields
Template:
Meeting
Date
4/1/2025
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 Yakima County Crime Stoppers to host Your Canyon for a Day - Bike Tour on May 18, 2025
Order
4
Placement
Consent Agenda
Row ID
129428
Type
Special Event Application
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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDTYYYY) <br />02t01t2025 <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: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />lf SUBROGATION lS 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 lieu of such endorsement(s). <br />PRODUCER <br />StateFarm Rick Mendiola <br />3030 W Nob Hill Blvd& <br />Yakima wA 989024982 <br />Rick Mendiola <br />509-426-2662 <br />com <br />INSU AFFORDING COVERAGE <br />rNsuRER A : State Farm Fire and Casualty Company 25143 <br />INSURED <br />CRIME STOPPERS OF YAKIMA COUNTY INC <br />PO BOX 11056 <br />YAKIMA wA 989092056 <br />INSURER B : <br />INSURER C : <br />INSURER D <br />INSURER E <br />INSURER F : <br />CERTIFICATE NUMBER:REVISION NUMBER: <br />DESCRTPTTONOFOPERATTONS/LOCATIONS/VEHICLES (ACORDl0l,AdditionalRemarksSchedule,maybeattachedifmorespaceisrequlred) <br />LOCATION: 128 N 2ND ST, YAKIMA, WA 98901 <br />YOUR CANYON FOR A DAY RIDE <br />ADDITIONAL INSURED - CERTIFICATE HOLDER: KITTITAS COUNTY, WASHINGTON STATE PATROL, DEPT OF TRANSPORTATION, BUREAU OF <br />LAND MANAGEMENT, US GOVERNMENT AND "The United States Department of the lnterior-BlM, WSDOT 2809 Rudkin Rd, Union Gap, WA 98903 is <br />additionally insured" <br />CERTIFICATE HOLDER CANCELLATION <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- NOTWTHSTANDING ANY REQUIREMENT, TERM 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />PULIUY tsFF <br />IMM'NN/vvYYI <br />FULIUI EAT <br />IMMTDD/YYYY}LIMITStN51(ITR TYPE OF INSURANCE INSD <br />DUEl rvD POLICY NUMBER <br />s 2,000,000EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PRFATISFS 1F, ^.d 'rran.a\s 300,000 <br />s 5,000MED EXP (Any one person) <br />PERSONAL & ADV INJURY s 2,000,000 <br />GENERAL AGGREGATE E 4,000,000 <br />s 4,000,000PRODUCTS. COMP/OP AGG <br />07t0112024 07t01t2025 <br />$ <br />A <br />COMMERCIAL GENERAL LIABILITY <br />.LATMS-MADE X o..r* <br />GEN'L AGGREGATE LIMIT APPLIES PER; <br />X LOCPOLICY <br />PRO- <br />JECT <br />Y N 98-BJ-G478-3 <br />$ <br />BODILY INJURY (Per person)$ <br />BODILY INJURY (Per accident)$ <br />I'KUHTK I Y UAVIAUE <br />$ <br />$ <br />AUTOMOBILE LIABILITY <br />SCHEDULED <br />AUTOS <br />NON.O\^/NED <br />AUTOS ONLY <br />AUTOS <br />HIRED <br />AUTOS <br />ONLY <br />ONLY <br />ANY AUTO <br />OWNED <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS.MADE <br />$DED RETENTION $ <br />PER I I OIH-crlTrrrE I I co $ <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br />N/A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />lf yes, describe under <br />DFSCRIPTION OF OPFRATIONS below <br />Y/N <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />was system-generated on 02101 12025 <br />AUTHORIZED <br />ELLENSBURG wA 98926-2887 <br />I <br />KITTITAS COUNTY <br />205 W sTH AVE STE 108 <br />tA4E'ba*<a?aoof TION. All rights reserved. <br />ACORD 25 (2016/03)The ACORD name and logo are registered <br />@1 <br />1001486 2005 155279 205 01-19-2023
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