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Home My WebLink AboutCertificate of Liability InsuranceAmRDCERTIFICATEOFLIABILITYINSURANCETHISCERTIFICATEISISSUEDASAMA7TEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THISCERTiFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOUCIESBELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S),AUTHORLZEOREPRESENTATIVEORPRODUCER.ANDTHECERTIFICATEHOLDER.IMPORTANT:IfthecrtlficateholderIsanADDITIONALINSURED,thepolicyfles)mustbeendorsed,IfSUBROGATiONISWAIVED,stbjecttothetermsandconditionsofthepolicy,certainpolicIesmayrequireanendorsement.Astatementonthiscertificatedo’esnotconlerrightstothecertlfcateholderInlieuofsuchendorsement(s).POOuCERDaJECSilbertson4253286822425822-0312RHISt8dBdalegobdbcm12506130thLaneNE,#61325)AFFORDINGCOVERAGEKirkIari,WA98034EnthuranceAmericanSpecialtyInsuranceCompanyINSURED4SURERBStateorWnrgtoINSURERC:CCGree4wConstnicbonInc1544120&dAveSERentonWA98059COVERAGESCERTIFICATENUMBER:REVISIONNUMBER:ThIS5TOCERTIFYTHATTHEPOLIciESOFLWSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIODINDICATED.NOTWITHSTANDINGANYREQUIREMENT.TERMOROONDFtIONOfANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHISCEtTIEICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCENFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMSEXCLUSIONSANDCONDITIONSOFSUCHPOLICIESLIMITSSHOV)MAYHAVEBEENREDUCEDBYPAIDCLAIMS____ _ _—______—______________TypeOFINSURANCEPOLIcYhuIERODDJTrYv’)tMWYYY)_______ _ _ _______ _IGENSRALCOMMERCFALGENERALUAILflVCLAPAS-MAO€OCCUR______AH___ _[GN’4.AGREGATELIMITAPPLIESPER:____ _ _ _ ___APOLICY5CrCXUAILflTANYAUTOIiALLOWNEDAUTOSHIREDAUTOSUEBREL1.AIJABLJEXCeSSUAEIS-AAOEIH3EDIWOR(ERSCQfFEN5ATIONANDPLO’ERB’uABILIrr,,ANYPROPRIETORPTNEREXECU1IVEfl’98or1)cEsI,ceEXrAUOEeTL]iNH)ItzilI!euflSarESCRIP7ONtIFDSSCRIPTIOWQOPERA11ONSIL.QCATIOIJSVS)ECLESfMtdiACORDID1AddiboIRnwrkSd1eL4.Itrnrt,acriruqulredlCftyOtRentonshallbenamedasadditionalinsuredperfomiC62033(04113)CERTIFICATEHOLDERCANCELLATIONSHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFOIECityofReMonTHEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVEREDINAttn:JusbnJohnsonACCORDANCEIMTHTHEPOLICYPRDVISIONS.1055SGradyWayAUTNORI?EDREPRS$E$TATIVE-ReManWA9B057-—-,.ACORD25(2010105)©1988-2010ACOROCORPORATION.Allrightsreserved.TheACORDnameandlogoareregisteredmarksofACORDDATEMMiDO!YYYY)09/02O17CEF100001JYSOOEcHOCCIJRRENCEJ1000000100000-— ‘ -—P_!E.rpf39j1JI5?0011251201611/2512017PER5OILêL&AV!NJURYSGeNERALAG(REGATE2,000,000PROOUCTS-CC4AP,OPAGci2,OO000SCHFOULEDAUTOSNUN.OViNEU)—AuruCN(ACBFI0000117800