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AC -"R"` CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDD/YYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />05/06/2019 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS 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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Gail D'Amour <br />NAME: <br />Allen Financial Insurance Group <br />PHONE (602) 992-1570 (602) 992-8327 <br />A1C No Cxl: RIC,NoI: <br />The Equestrian Group <br />A4tAiL gail@eqgroup.com <br />12424 N 32nd St Suite 200 <br />DAMAGE TU RENTEU— <br />PREMISES (Ea occurrence) $ 100,000 <br />MED EXP (Any one person) $ 5,000 <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />Phoenix AZ 85032 <br />INSURERA: Capitol Specialty Insurance Corp 10328 <br />INSURED <br />INSURER B <br />Easton Memorial Day Parade <br />INSURER C: <br />PO Box 698 <br />INSURER D <br />INSURER E. <br />Y <br />Easton WA 98925 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMRER- CL195643810 RFVI_CInN NI IMRFR- <br />THIS IS TO CERTIFY THATTHE 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 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 />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MM/ODS <br />EXP <br />MMraw" <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGE TU RENTEU— <br />PREMISES (Ea occurrence) $ 100,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL&ADV INJURY $ 1,000,000 <br />A <br />Y <br />CS19002033 <br />05/24/2019 <br />05/27/2019 <br />GENTAGGREW,TE LIMITAPPLIES PER: <br />POLICY D �Q F LOC <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS-COMP/OPAGG $ Included <br />OTHER <br />Employee Benefits $ <br />AUTOMOBILE <br />LIABILITY <br />C06113INED SINGLE I,IMIrT $ <br />LEa 71ccidon11 <br />BODILY INJURY (Per person) $ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />P d <br />BODILY INJURY (Per accident) <br />( ) $ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />IPer-accident) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- — <br />AND EMPLOYERS' LIABILITY Y/ N <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />N /A <br />E L EACH ACCIDENT $ — <br />(Mandatory in NH) <br />If yes, describe under <br />EL DISEASE - EA EMPLOYEE $ <br />— <br />DESCRIPTION OF OPERATIONS below <br />E4 DISEASE- POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The Certificate Holder is hereby added as additional insured but only in respect to the liability that arises out of the named insured's activities or operations. <br />EVENTEaston Memorial Day Parade <br />VCR 1IF—M1 C rTWI_ JIZIN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Kittitas County ACCORDANCE WITH THE POLICY PROVISIONS. <br />205 W 5th Ave <br />AUTHORIZED REPRESENTATIVE <br />Ellensburg WA 98926 �M _ <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />