Loading...
HomeMy WebLinkAboutBecky BridgewaterAC"�Ro® CERTIFICATE OF LIABILITY INSURANCE DATE06123/26/23/2001YYYY) 024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms 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 of such endorsement(s). PRODUCER CONTACT NAME: Next First Insurance A&e-cy. Irt. PHONE (855) 222-5919 FAX PO Box 60787 {9I�,194.,Fdst): (AfC, No): Palo Alto, CA94306 E-MAIL ADDRESS' pp su ort@nexunsurance.com INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: State National Insurance Company, Inc. 12831 INSURED INSURER B Becky Bridgewater INSURER C Becky Bridgewater 2909 Arlington Ave INSURER D Caldwell, ID 83605 INSURER E COVERAGES CERTIFICATE NUMBER:663380281 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMlDDIYYYY POLICY EXP MM1DDlYYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rx� OCCUR EACH OCCURRENCE $1,000,000.00 PREMISES Ea occurrence $100,000.00 MED EXP Any one person) $10.000.00 PERSONAL S ARV INJURY $1,000,000.00 A x NXTH4R7L70-04-GL 01/23/2024 01023/2025 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT LOC GENERAL AGGREGATE $3,000,000.00 PRODUCTS -COMPIOPAGG $3,000,000.00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per acciden! $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATEP EXCESS LIAR CLAIMS -MADE $ OED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANYPROPRIETORIPARTNERIEXECUTIVE ❑ OFFICE JMEMBEREXCLUDED? NIA PER OTH STATUTE ER E.L. EACH ACCIDENT $ — E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY L MIT (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below $ - - $ Each Occurrence- $1,000,000.00 A Professional Liability NXTH41171-70-04-151- 01/23/2024 01/23/2025 Aggregate: $3,000,00000 DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) The Certificate Holder is City of Caldwell -Idaho. This Certificate Holder is an Additional Insured on the General Liability Aolicy per the Additional insured Automatic Status Endorsement. All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured. and are subject to policy terms and conditions. hill vanIIVI%,P%IF- nvL-I.rF-r-. %1A1Vt r-1-L,AIIVIV City of Caldwell -Idaho LIVE CERTIFICATE PO Box 1179 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Caldwell, ID 83606 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Click or scan to view ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD