|
SWIFCEL-01
<br />CERTIFICATE OF LIABILITY INSURANCE 06J21 /2017
<br />THIS CERTIFICATE IS ISS UED AS A MA TIER 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 />II SUBROGATION IS WAIVED, subject to the terms and conditions of the policy , certain p o licies may require an endorsement. A statement on
<br />Ihls certificate does not l:on{et rl hls'to the certificate holder In li eu of such endors.ement s ,
<br />___ r~, ~~:(8 662 154B62
<br />PRODUCER ~~ .CT
<br />~~~~:~~~~:ura nce, Inc. r~~~, Ext! (509) 946-6161
<br />390 Brad ley B lvd. J-vi . -__ .--
<br />Ri chl and, WA 99352 _____ ... IN ~(SJ /l FF~ROI~G ~O_E ______ .
<br />INS URED
<br />_-1 !N~R~l\ i.8l1ied WQ,rld S p~~ia.l!Y.. nsurance ~o m an -f
<br />.-1NSUREFLB "---___ • _____ .. ___ ___ _ __
<br />Swiftwater Cellars, LLC
<br />PO Box 492
<br />Roslyn, WA 98941
<br />COVERAGES
<br />INSURERC : I I "~/RERD_:_
<br />,INSURER E :
<br />INS URE F :
<br />REVISION NUMBE
<br />THIS IS TO CERTIFY THA T THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TH Ec POLICY PERIOD
<br />INDICATE D. NOTWITHSTANDING ANY REQUIREMENT . TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VVHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAI N, 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 REDU CE D BY PAID CLAIMS
<br />''''SR --------ADODsuftii: POU CY EFF P(5UcY'ii(p -TYPE OF INSURANCE -POLICY NUMBER LO..DlnttI . ..JbIMJI1.Durt,LrxuV;,.I _______ -=I.:;::'M::,:'T$:;:·:...... __ ------,...."..,,-:-::-=-1
<br />A X COMMERCIAL GENERAL LIABILITY EACli OCeUFlRENC€' t 1 ,000,0'00 --xl X '5115007904 0 (0712017 710712 18 ·OAIMGETOjfl;NTEo ---1 -00'0 0 0"0' CLAI",!S·r.lA OE i OCCUR 7 I 0 0 Pil 1$f;~C 0<"1 f.~l , ~ "
<br />X Liq uor Liab ility 0:000
<br />Ix-WAStopGa}l~_~~~-=~_~ _ I;E~s::!::=::;-~
<br />GEN 'l AGGREGATE LIMIT APPLIES PER • ~GGREGAl"E t. ~ __ ~ i POLICY :::-1 ~~ ____ .1 LO C P,!O~JS 'C M~O A ~ s
<br />. THEIL 1
<br />A AUTOMOBILE LIABILITY COMBINED SINGL l MIT
<br />I' ~{~,., IlIjldu lllL-. --!-
<br />X ANY AUTO 5116007904 07/07(2017 ' 0710712018 B~0ll-" 1N.F.Um'\I'! ~'"")) • $
<br />OWNEO SCHEDULED
<br />AUTOS ONLY AUTOS
<br />X '~tlWSONLY ~_1:6%~V'~
<br />A X UMBRELLA LIAB X OCCUR
<br />[ EXCESS LIAS 1 -1~A':~1
<br />I";;ED X RETENnON S O.
<br />:51170D7904
<br />NIA
<br />BOOl l Y INJU RY I;"J "_ ....... I\! •
<br />-PROPERlY ii.,Mi:;E,.--.,;>-!~
<br />~CIOo<l ""1 I r ---
<br />I
<br />E£I.~r.IIRft ,
<br />0710712017; 07/0712018 "GGRE~ 1-'--.
<br />DESCR IpTION OF OPERATIONS I LOCATIONS I VEHIC LeS (A(OlI D 1Q1,lIuUI,lon.' R.marks sc n,uu, •• m.y be attlched" more spIce I. required,
<br />re: All Eve'ots , K IIII "'5 County Is added «" addltlonal lnsurod per form Wl GL0001 . ottached.
<br />CERTIFICATE H OLDER CANCELLAT10N
<br />~ 1,000,000
<br />2,000,000
<br />2~60,ooo
<br />1,000,000
<br />5,000,000
<br />5 ,000~boo
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Kittitas County
<br />205 W 5th Ave
<br />Ellensburg, WA 98926
<br />ACORD 25 (2016103)
<br />THE EXPIRATION DATE TH ER EOF , NO nCE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE PO LICY PROV IS IONS .
<br />AUTHORIZED REPRESENTATIVE
<br />~~
<br />© 1988-2015 ACORD CORPORATION, All rights reserved,
<br />The ACORD name and logo are registered marks of ACORD
|