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OncuGign Envelope ID: DFeBD400'DBx7-4EO4-98CD'B2ooACgBe153 <br /> f � U Evidence of Coverage <br /> ~ <br /> WnSH|NGTMNSCHMML= <br /> A|�� K08N&��K8��T �UM| General � <br /> ".".. ."�."n="..�.v . POOL ��K�������x Certificate <br /> This Evidence of Coverage is issued as a matter of information only and confers no rights upon the <br /> evidence holder.This evidence does not amend, extend or alter the coverage afforded by the coverage <br /> agreement below and is subject to all the terms, exclusions and conditions of such coverage agreement. <br /> This isto certify that the coverage listed below has been issued to the named Covered Member for the <br /> period indicated. As a statutorily authorized and self-funded public entity interlocal cooperative among <br /> school and educational service districts, there is no insurance policy involved. Because WSRMP is not an <br /> insurance company,vve cannot grant"additional insured"status(VVAC 2OD'1OO'DJOOS and O3OO7). <br /> ^ <br /> Coverage Afforded By: Covered Member: <br /> Washington Schools Risk Management Pool Tukwila School District <br /> PO Box 8870O 4640 S144thSt <br /> Tukwila, VVAQ8138'27OD Tukwila,VVA98168 <br /> Member#:17406 <br /> - <br /> Coverage Agreement#: COV 2018-2019 <br /> Coverage Period: September I, 2018 through August 31'2U1G <br /> Effective Date of Evidence ofCoverage: September 1. 2018 <br /> Expiration Date of Evidence ofCoverage: August S2, 2O19 <br /> Limits Available General Liability: <br /> UmitsAvai|ab|ePnoperty $1J00DO8 <br /> Limits Available Auto Liability: �1,OO�,DO�-----------~-------------~^~ <br /> Description ofOpe ratio ns/Looat|ons/Veh|Cie: <br /> Activities under the direct supervision of District personnel a3 respects coverage period <br /> September l, ZD18 through August 31, 3O18. <br /> Evidence of Coverage Holder: Issue Date:August 1,2U18 <br /> To Whom |t May Concern <br /> Aulhrxized3|Qha��r�-- <br /> y'o <br /> Cancellation:Should the above described coverage agreement be cancelled before the expiration date,WSRMP will send 30 days written <br /> notice m the evidence o/coverage holder named above. <br /> �O� <br /> 8JZO18Vyashington Schools Risk w1anaQementPool ~-~~ <br />