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-.Ar CERTIFICATE OF LIABILITY INSURANGE DATE (MM/D <br />4t17t2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT <br />AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT <br />coNST|TUTE A CONTRACT BETWEEN THE |SSUING TNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SUBROGATION lS WAIVED, subject to the terms <br />and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu <br />of such endorsement(s). <br />PRODUCER <br />TAPCO- KL (5576) <br />PO Box 286 <br />Budington, NC 27216 <br />CONTACT NAME <br />PHONE (AJC No, Ext):FAX (A/C No): <br />EMAIL ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED <br />BARBARA DAVIDSON <br />EASTON MEMORIAL DAY PARADE AND CAR SHOW <br />PO BOX 698 <br />EASTON, WA 98925 <br />INSURER A: Mount Vernon Fire lnsurance Company 26522 <br />INSUREB B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSI.JRER F: <br />COVE CERTIFICATE NU 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 INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />ISSUED OR MAY PERTAIN, THE INSUMNCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- <br />INSR <br />LTR TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD POLICY NUMBER <br />POLIGY EFF <br />(MM/DD//YYY) <br />POLI(.;Y EXP <br />(MM/DD/YYYY)Lil\4tTS <br />A <br />GENERAL LIABILITY <br />x COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY <br />PRO-LOC <br />x <br />sE2022545 ,5t24t2024 05t27t2024 <br />=ACH <br />OCCURENCE D1,000,000 <br />1 100,000 <br />MED EXP (Anv one person)$1,000 <br />PERSONAL & ADV INJURY $1.000.000 <br />GENERAL AGGREGATE 12,000,000 <br />PRODUCTS-COMP/OP AGG See L-535 <br />$ <br />ANY AUTO <br />Ab!8W"o <br />HIRED AUTOS <br />ig?SgULED <br />NON-OWNED <br />AUTOS <br />COMBINED SINGLE <br />fEa accident) <br />LIMIT <br />$ <br />BODILY INJURY (Per person)$ <br />BODILY INJURY (Per accident $ <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LLAB <br />OCCUR <br />CLAIMS-MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTION $$ <br />WORKERS COMPENSASION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY <br />OFFICERYMEI\4BER EXCLUDED?(Mandatory ln NH) <br />$Eg'cAFf'rEe sPgPERAroNs berow <br />N/A <br />'WRfIftIHs <br />OTH. <br />ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE-EA EMPLOYEE $ <br />E.L. DISEASE-POLICY LIMIT $ <br />)ESCR|PTION OF OPERATIONS / LOCATIONS / VEHICLES (See attached Acord 101 for additional liability limits) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />County, lt's Agents, Employees, and Assigns <br />W Sth Ave <br />wA 98926 <br />Copyright 1 9BB-201 0 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />25 (2010105)hts reserved.