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A� ®® CERTIFICATE OF LIABILITY INSURANCE <br />TE <br />DA3/28/2025 ) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Robyn Greene <br />PHCN o E t• (208)672-6160 q/c No: tess> 929-3119 <br />Leavitt Select Insurance Services, Inc. <br />E-MAIL robyn-greene@leavitt.com <br />ADDRESS: <br />6220 N Discovery Way <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />Suite 100 <br />INSURER A: National Union Fire insurance Company < <br />19445 <br />Boise ID 83713 <br />INSURED <br />INSURER B: Navi2ators Specialty Insurance Company <br />36056 <br />INSURERC:New Hampshire Insurance Company <br />23841 <br />Day Management Corporation <br />INSURER D: Scottsdale Insurance Company <br />41297 <br />dba Day Wireless Systems <br />INSURERS: <br />6430 SE Lake Rd <br />INSURER F: <br />Milwaukie OR 97222 <br />COVERAGES CERTIFICATE NUMBER:25/26 Master REVISION NUMBER: <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 MAYBE 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 />INSR <br />LTR <br />TYPE OF INSURANCEINall <br />ADDL <br />SUBR <br />NUMBER <br />POLPOLICY <br />MM DICY EFF <br />D YYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />A <br />CLAIMS -MADE a OCCUR <br />- <br />- <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 500,000 <br />X <br />MED EXP (Any one person) <br />$ 25,000 <br />$0 Ded <br />X <br />Y <br />GL 5342023 <br />4/1/2025 <br />4/1/2026 <br />PERSONAL &ADVINJURY <br />$ 2,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />X <br />POLICY J C LOG <br />PRODUCTS - COMP/OPAGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br />BODILY INJURY (Per person) <br />$ <br />A <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />CA 3786644 <br />4/1/2025 <br />4/1/2026 <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />.1 <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />B <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I RETENTION $ 0 <br />$ <br />CH25EXC8855921C <br />4/1/2025 <br />4/1/2026 <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? N <br />(Mandatory in NH) <br />N/A <br />WC 072113165 (AOS) <br />WC 072113247 (CA) <br />WA Stop Gap <br />4/1/2025 <br />4/1/2025 <br />4/1/2026 <br />4/1/2026 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 2,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 2,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E,L. DISEASE - POLICY LIMIT <br />$ 2,000,000 <br />D <br />2nd Excess Policy -Excess over <br />XLS2006650 <br />4/1/2025 <br />4/1/2026 <br />Each Occurrence $5,000,000 <br />GL, Auto & Employers Liability <br />Aggregate $5,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Kittitas County Sheriff Office <br />CERTIFICATE HOLDER CANCELLATION <br />Kim.dawson@co.kittitas.wa.us <br />Kittitas County Sheriff <br />307 West Umptanum Rd <br />Ellensburg, WA 98926 <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 />AUTHORIZED REPRESENTATIVE <br />ed Rice/ROGREE <br />All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS025 (201401) <br />