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DATE (MM/DD/YYYY) <br />•4� ��'�� CERTIFICATE OF LIABILITY INSURANCE 01/30/2026 <br />THIS CERTIFICATE IS ISSUED AS A MATTER 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 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 have ADDITIONAL INSURED provisions or be endorsed. <br />It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />+i ro tifinnta dnes not confer rights to the certificate holder in lieu of such endorsement(S). <br />PRODUCER <br />American Underwriters Ins Agcys Inc <br />6429 South Tacoma Way <br />Tacoma <br />INSURED <br />Peers Rising <br />110 W 6th Ave Pmb 118 <br />Northcutt, Lavonne _ <br />FAX <br />�fAIC :to :---- <br />INSURE5 AFFOROING COVERAGE NAIII <br />WA 984094004 Ohio SecurityInsurance CompanY 24082 <br />_ IN&t1RERA: <br />SNSURER C- <br />INSURER D: .. <br />-- <br />Ellensburg WA 98926 1 INSURER F . <br />COVERAGES CERTfFICATE NUMBER: 0144906689 REVISION NUMBER: 2016-03 <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 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 />NSR: A III gRi ROLICYIEFF F61dCP LIMITS <br />TYPEOFINSURANCE H A1g <br />YN • POLICYNU6R I Il[Mll7OrYYYY M GIYYYY <br />'X! OOMMERCIALGENERAL LIABILITY EACH OCCURRENCE 3 1,000,000 <br />1,t�d,DOD <br />CLAIMS -MADE X ocr:UR I PRE7K1�fy E��--5 <br />-�^ f MED EXP i anz GYM] 5 15,000 <br />A X X BKS63980283 10/26/2025 10126/2026. PERSONAL & ADV 1NJYRY 1,000,000 <br />aeNERALAGGF[EGA"E $ 2,000,000 <br />_ GEIi AGGREGATE VM"' APPUrS PER - <br />X [prOPAGG' S ,00 <br />PR LOC PRODUCT$ •CR,ow <br />POLICY <br />S <br />OTHER - <br />11161N L1SiINGLELIMIT $ <br />1,000,000 <br />AUTOMOBILE LIABILITY <br />IEn ii <br />—'i <br />1 BODILY INJURY (Par person) S <br />ANY AUTO I <br />---" ii oyy,NEO —'1 SCHEDULED <br />I <br />BKS63980283 10/26/2025 j 10/26/2026 1 BODILY INJURY (Per accident)! S <br />J <br />_— <br />A ONLY AUTOS <br />PROPERTY CA?AA E ' $ <br />_ ! HIRED NON-OAUTOS <br />x... VVNED <br />X <br />LPar accidanil <br />- <br />AUTO$ ONLY AUTOS ONLY <br />i <br />OCCURP-ENGE S <br />UMBRELLA LIAR OCCUR <br />-?ACH <br />' . <br />_ <br />EXCESS LIAB CLAIMS -MADE <br />.,AGGREGATE S <br />— --- — <br />s <br />DEO RL"7cNT:ONS_ <br />PTA T'E p1LH <br />. $_ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />_T.�_ <br />` <br />E L EACH ACCIDENT S <br />1 ,000.000 _ <br />ANYPRCPR:-SiTOFiIa.RRTNERrE:S-C"UTIV= <br />NIA <br />BKS63980283 -Stop Gap 10/26/2025 10/26/2026 <br />1,000,000 <br />A OFFIOERiMEMBER�(CLLiDE37 <br />E L DiSEASt-�A.wMPLO'r`E: 3 <br />(Rtardatory in NH) <br />R 4 describe under <br />E L DISEASE • POLICYL[MIT S <br />1,000,000 <br />:OLLSCRIp730N OF 0PERdT=pNS derorr <br />I I <br />I <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />`"`Proof of Insurance" ' <br />CERTIFICATE HOLDER <br />Peers Rising <br />110 W 6th Ave Pmb 118 <br />Ellensburg <br />WA 98926 <br />CANCELLATION <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 />' r Curtis Luken <br />- 9)1988-2015 ACORD CORPORATION. All rights reserved- <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />