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CERTIFICATE OF LIABILITY INSURANCE <br />DAIE (ilM'DDIVSaY) <br />11t14t2024 <br />THIS CERTIFICATE ls tssuED A8 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS uPoll TIIE CERTIFICATE HOLDER,THIS <br />CERNFrcATE DOE9 NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTETID OR ALTER THE COVERACE AFFORDED BY THE POLtCtES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES iIOT COI{STTTUTE A CONTRACT <br />REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE TIOLDER. <br />BETWEEN THE tssutNG tNsuRER(8),AUTHORIZED <br />IilPORTANT: lf the certiflcata holder ls an ADDITIONAL INSURED' <br />lf SUBROGAnON ls WAlvED, subfect to tho lerms and conditlont <br />the policy(los) mu*t have ADDITIONAL INSURED provlsloni or be endorsed. <br />of th6 pollcy, certaln pollclos may roqulre an endorsement. A Etat€ment on <br />thir c.rtflcate does not confer rlghtc lo tho ccrtllicate holder ln lleu of euch endorsement(a), <br />PROOIJCER <br />Hub lntemational Norlhwest LLC <br />3125 Howe Pl, Suite 201 <br />Bellingham WA 98226 <br />ilgil5^ "-.,. 36o547-9000 <br />INSURERIS) AFFORDING COVERAGE NAIC * <br />rxsunEn a I westem Nalional Mutual lnsutance company 15377 <br />INSUREO <br />Hartridge LLC dba Tenelco <br />2824 Old Hartford Rd <br />TENELCO.OT <br />Lake Stevens WA 98258-9760 <br />INSURER B : <br />rl{suRER c : <br />II{SIIRER D : <br />IIISURER E : <br />INSIIPFP i ! <br />INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAN, THE INSURANCE AFFORDED BY THE <br />THE INSURED NAMED ABOVE FOR THE POLICY PERIODBELOW HAVE BEEN NtsUtsU l(JTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED <br />CONTRACT OR OTHER DOCUMENT WTI.I RESPECT TO WHICH THIS <br />POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.EXCLUSIONS AND CONDITIONS <br />UHITSPOLICYNUIBENTYPE OF INSURAI{CE <br />EACH OCCURRENCE s 1.000.000 <br />s r00.000 <br />MED EXP {Anv om m6on}t 5,000 <br />s 1.000.000PERSONAL 8 ADV IftIJURY <br />GFNEMLAGGREGATE s 2.000.000 <br />c 2.000.000PRODUCTS.COMP/OP AGG <br />s <br />cPP 12271?601 121112021 121112026COTMERCIAL GENERAL LIA€ILNY <br />X <br />X <br />CtAIMS-lvlADE OCCUR <br />POLICY <br />GEN'L LIMIT APPLIES PER <br />!F& fl.* <br />$ 1,000,000 <br />BOOILY INJURY (P€r P€rson)$ <br />$soDlLY INJURY (Psr acddon0 <br />$ <br />$ <br />12t112024 12t'v2025cPP 122490104A <br />OWNED <br />AUTOS ONLY <br />HIREO <br />AUTOS ONLY <br />SCHEDULEO <br />AUTOS <br />NON.OWI{ED <br />AUTOS ONLYX <br />x <br />x <br />AUTOIOBILE LIAIILITY <br />ANYAUTO <br />3 1 000 000EACH OCCURRENCEXx <br />s 1.000.000AGGREGATE <br />occuR <br />cr Allrs-MAnF <br />UIIBRELLA LIAB <br />EXC€Ss L|AB <br />s <br />121112025UMB 103845004 121112024A <br />nFn x RFTFNTION 3 rn nnn <br />I PER lvI STATIITF I^()l H-FP Ston GaD <br />E.L- EACH ACCIOENT t 1,000.000 <br />s 1.000.000E.L. DISEASE . EA EMPLOYEE <br />3 1 _OOO-O00 <br />121112025 <br />E,L. DISEASE - POLICY LIMIT <br />cPP 122713504 ,21112021 <br />EIIPLOYERS'LIABILITY Y'Nflln <br />ir/A <br />DEgCRtpTF|tl OF OPERATp[8 / LOCAT|ONE t VEIIICLES (AGOnO rot, Addld6al Rrmttts schsdule, mry br att Ghad lt mgB !p!c. b rylliry4 <br />#i;od;tdnns and condiiionl; c6mmliclii-ebndrat t-ia'uitity Enhancement Endorsdment form CG MU 0009 96 !2; Atttlltional lnsured ' conlractors - <br />b#;,i;fi,;;;ioniEtiio OpCritirii'C --vttttrAoOitioniilnirjieJ Requirement in Construc,lion contract foqn V\N GL.139 06.18; Designated Gonstrudion <br />Fioiit"- r|r -e"-nEr';ift-or;q;6ffiii i;m; <br />-Cc <br />,E-g{tis tjs: De6isniieO Froiect (s) - Asgregate Limlt: and Business Auto Enhancemeht Endorsement form ltvN <br />CA'80 06 ig. Umtrelliliabttity follows form to terms and conditions of underlying policies. <br />Kittitas Gounty <br />205 WSth Ave Ste 108 <br />Ellensburg WA 98926 <br />I <br />SHOULD A]{Y OF THE ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE <br />THE EXPIRA?K)N DATE THEREOF, IIOTICE WILL BE DELIVEREO III <br />ACCORDAXCE WITH THE POLICY PROVISIOI{S. <br />Pfrr#r** <br />@ 198E-201 5 ACORD CORPORATION' Atl rlghts reserved. <br />ACORD 25 (2016/03)The AGORD nam6 and logo are rsglstered marks of ACORD