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DATE (MM/DD/YYYY) 4t16t2025 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 CONTRAGT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER \Marton/Lyon & Lyon PO Box 1660 Livingston NJ 07039 I icense#: BR-787709 Nikolaidis 973-863-2805 INSURER(S} AFFORDING COVERAGE NAIC # rNsuRERA, Philadelohia lndemnitv lns Co 1 8058 INSURED Amyotrophic Lateral Sclerosis Assoc. 1300 Wilson Blvd., Ste 600 Arlington VA222Og INSURER B INSURER C INSURER D : INSURER E : INSURER F COVERAGES CERTIFIGATE OF LIABILITY INSURANCE CERTIFICATE NUMBER:18 REVISION NUMBER: CANCELLATION O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE 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. INSRITF TYPE OF INSURANCE tNqn POLICY NUMBER POLICY EFF LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS-IVADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: ,or'"r f-]Sffi LOC X X PHPK2595465-002 9t1t2024 91112025 EACH OCCURRENCE $ 1,000,000 U P s 1.000.000 MED EXP fAnv one oerson)$ 1 0,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS. COMP/OP AGG s 2.000.000 $ AUTOMOEILE LIABILITY X ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON.OWNED AUTOS ONLYXX PHPK2595465-002 9t112024 e1112025 $ 1,000,000 BODILY INJURY (Per person)$ BoDILY INJURY (Per accident)b $ $ UMSRELLA LIAB EXCESS LIAB X OCCUR CLAIMS.MADE PHU8879092-002 9t1t2024 91112025 EACH OCCURRENCE $ 7.000.000 X AGGREGATE $ 7.000.000 DED X RETENTIONSTnnnn Retention $ 10 000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRI ETORYPARTNER/EXECUTIVE OFFICER/IVEMEER EXCLUDED? (Mandatory in NH) lf yes, describe under DEScRIPTIoN OF OPERATIONS below N/A PIR STATUTE otH-tre E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E,L, DISEASE. POLICY LIMIT $ DESCRTPTTON OF OPERATIONS / LOCATIONS / VEHICLES (ACORD I 01, Addillonal Remarks Schedule, may be attached if more space is required) Coverage is subject to policy terms, conditions, and exclusions. RE: Ride to Defeat ALS - Washinqton Chapter Auqust 16,2025 at lron Horse Trail; Cle Elum, WA Kittitas County is included as an a?ditional'insured-on a primary noncontributory basis for commercial general liability when required by written contract. Kittitas 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 /r2,,/ ACORD 25 (2016/03)