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BELS&SM.OI <br />.4'COfil.\-='D.CERTIFICATE OF LIABILITY INSURANCE DATE (MM'DD'YYYY} <br />3t19t2025 <br />THIS CERTIFICATE IS ISSUED AS A MATTER <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR <br />BELOW THIS CERTIFICATE OF INSURANCE <br />OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES <br />DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSU|NG INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />SUBROGATION <br />or endorssd,beADDITIONALhaveNSUREDthoustprovisionsmholdercertificateantsINSURED,ADDITIONALIMPORTANT:the policy(ies)tf onstatementendolsement.AcertainrequiremaytheandtermsoftheconditionstspolicytosubjoctWAIVED,lf <br />lieuin suchofthecortificatetoconfertsthnotcertificatedoes <br />248-3673248-3515Terril, Lewis & Wilke lnsurance, lnc. <br />P.O. Box 1789 <br />Yakima, WA 98907 <br />PRODUCER <br />Belsaas & Smith Construction, lnc. <br />P O Box 926 <br />Ellensburg, WA 98926 <br />INSURED <br />POLICYTHE PERIODINSUREDTHEABOVENAMEDFORHAVEBELOWBEENEDssuTOEESPOLICIINSURANCEOFLISTEDISTHISCERTITOTHATFYTHRESPECTWTHw-lTO THIStcHOTHERORENTDOCUMOROFCONDITIONCONTRACTANYREOUIANYENTREMTERMNDICATED.NOTWTHSTANDING THEALLtsHEREINTO TERMS,SUBJECTBYPOLtCtESTHEDESCRIBEDMAYTHEAFFORDEDNSURANCEMACERTIFICATEBESSUEDORPERTAIN, <br />D CLAIMS.HAVEMAY REDUCEDBEEN BY PAIPOLtCIES.SUCH sHovv}.lLIMITSANDEXCLUSIONSNDITIONScoOF <br />LIMITSPOLICYTYPE OF INSURANCE <br />x <br />1 <br />1 <br />x <br />1 <br />9t1120259t1t2024x <br />COMMERCIAL GENERAL LIABILITY <br />LIMIT <br />POLICY PRO. <br />JECT r <br />CLAIMS-MAOE OCCUR <br />PER: <br />LOC <br />x 9t1t2024 9t1t2025ANY AUTO <br />OVVNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />NON-O\ANED <br />AUTOS ONLY <br />AUTOMOBILE LIABIUTY <br />xX OCCUR <br />CLAIMS-MADE <br />UMBRELLA LIAB <br />EXCESS LIAB 9t1t2024 st1t2025 <br />DED x RETENTION S 1 <br />c <br />N/A <br />describs und€r <br />Y'NI <br />A <br />and assigns, and the respective directors, officers, employees,_agents and representatives of the County and its successors <br />Architeciis consultants pbr written contract are named'as ldditional insured, with waiver of subrogation and primary <br />Z4iOSXX Of tS. Comptet6d operations, per form CNA75O79XX 0322. Per proiect applies per form CNA74705XX 0l 1 5 <br />/VEHICLES IACORDl0l,AddltionalRemarksSchedule,may!€attachedlfmoEsPlc-e-|3requiBd)'R;;;Giid; G5r i (.liil'1tt 1205 west sth AVe,Ellensburs' wA e8s26 <br />CNAformpernon.contributory <br />Kittitas County <br />205 West sth Avenue, Suite 108 <br />Ellensburg, WA 98926 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IiI <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZ EO REPRESENTATIVE <br />/"-*-4/,7,-z*Z <br />@ 1988-2015 ACORD CORPORATION' All rights reserved'ACORD 25 (2016/03) <br />The ACORD name and logo are registered marks of ACORD