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oiQo"GERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDTYYYY} <br />THIS CERTIFICATE IS ISSUED AS A MAfiER 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 !NSURER(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 riqhts to the certificate holder in lieu of such endorsement(s). <br />CONTACT <br />NAMF.Account Manaoer <br />FAX 949-75F'-5740, <br />NAIC { <br />22292 <br />22306 <br />INSURER(S) AFFORDING COVERAGE <br />tNsrjRER A : The Hanover lnsurance comoanv <br />tNsuRERB ' MaSSaChuSeftS BaV lnSUranCe cOmOanv <br />INSURER C <br />INSI-IRER D : <br />INSURER E <br />INSURER F <br />PHONE 949-756-5730 <br />'E"p'"I"?u r Ri sk M a n a g ement <br />74 Discoverv <br />lrvine, CA 4zirc <br />www.spectrumrisk.com 0c77485 <br />INSURED <br />MTM Business Systems lnc <br />DBAVitalValt <br />1622 Edinoer Ave.. Ste. F <br />Tustin CA Szzao ' <br />CERTIFICATE NUMBER:REVISION <br />$ 1.000.000 <br />$ 't 00.000 <br />$ 10.000 <br />$'t.000.000 <br />s2,000,000 <br />$ 2.000.000 <br />b <br />$ 1.ooo.ooo <br />$ <br />$ <br />$ <br />$ <br />$ 5 000 000 <br />$ 5 000 000 <br />$ <br />$ 1.000.000 <br />$ 1 0n0 000 <br />s 1 000 000 <br />OIH- <br />ER <br />PER ISTATI ITF I <br />LIMITS <br />EACH OCCURRENCE <br />UAMAUE IURENIEU <br />PRFMISFS fFa dmltrene\ <br />MED EXP (Anv one peEon) <br />PERSONAL & ADV INJURY <br />GENERALAGGREGATE <br />PRODUCTS . COMP/OP AGG <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) <br />PROPERry DAMAGE <br />EACH OCCURRENCE <br />AGGREGATE <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />POLICY EXP <br />IMM/DD/YYYY} <br />912812025 <br />9t28t2025 <br />912812025 <br />912812025 <br />912812024 <br />9t28t2024 <br />9t2812024 <br />POLICY EFF <br />IMM'ND'YYYY} <br />9t28t2024 <br />zD3 4743710 10 <br />uH3 A743776 10 <br />wD3-4479623-11 <br />FOLICY NIIMBER <br />zD3 A743710 10 <br />N/A <br />AUUL <br />OCCUR <br />CLAIMS-MADE <br />nerErurroru s0 <br />UMBRELLA LIAB <br />EXCESS LIAB <br />DED <br />ryPE OF INSURANCE <br />COMMERCIAL GENERAL LIABILITY <br />..A.MS-MADE [7 o""u* <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO-JECT I I LOCPOLICY <br />ANY AUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />NON-OWNED <br />AUTOMOBILE LIABILITY <br />WORKERS COMPENSATION <br />ANO EMPLOYERS' LIABILITY <br />ANYPROPRIETOR/PARTN EFYEXECUTIVE <br />OFFICER/MEMBEREXCLUDED? <br />(Mandatory in NH) <br />lf yes, describe under <br />DFSCRIPTION OF OPERATIONS below <br />Y/N <br />OESCRIPTIONOFOPERATTONS/LOCATIONS/VEHICLES (ACOROl0l,AdditionalRemarksSchedule,maybeattachedifmorespaceisrequired) <br />Kittitas County is included as Additional lnsured on Primary and Non-Contributory basis, with respect to General Liability where required by written <br />contract per attached policy form. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSUMNCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 />INSR <br />LTR <br />A <br />A <br />A <br />B <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE wlLL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Victor Farfan <br />Kittitas Countu <br />205 W Sth Av6, Suite 108 <br />Ellensburg WA 98926 <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The AGORD name and logo are registered marks of ACORD <br />a6r7lg|a I 2024 cor I Ellen Lau | 7/9/2025 3:03:25 PM (PDT) | Page 1 of 5 <br />This certificate iancels and supersedes Al-L previousJ-y assued certltlcates.