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Home My WebLink AboutBlackstead Investment CorpACORO�° CERTIFICATE OF LIABILITY INSURANCE �.� DATE (MMroorYYYY) 12/06/2023 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 be endorsed. If SUBROGATION IS WAIVED, subject to the temis 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 BARKUS VAN Y Western Community Ins Cc PHONE 208_8 8_8848 FAX 208_232-3608 PO Box 4848 E-MAa ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 Pocatello, ID 33205-4IM INSURER A : Western Community Ins Co 39519 INSURED e I111IIloil II111I111I1IIII8II181111I11I11II181II1IIII LACKSTEAD INVESTMENTS INC INSURER B : INSURER C : INSURERD: RED BI_ACKSTEAD INSURERE: 11760 W EXECUTIVE OR STE 120 B01 SE ID 83713 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: AF0670 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 SU13JECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMI�O YYY 1 POLICYEXP GETS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LJ OCCUR N N 8M4044101 1 /O 1 /24 1 /O 1 / 25 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO REWED— PREMISES Ea occurrence $ 100,000 MED EXP (Any one peson) S 51000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY 7 PRO-LOC PRODUCTS . COMP/OP AGG $ INCLUDED $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT a acckE n S BODILY INJURY (Per person) S BODILY INJURY (Per acddent) $ PROPERTY DAMAGE .,..Id nt $ UMBRELLA LIAR EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE $ HOCCUR AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPMETORIPARTNER/D(ECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (MaMatory in NH) 11 yyaas describe under DESCRIPTION OF OPERATIONS below N ! A IAiC STATU- OTH- E-L. EACH AOCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD tot Additional Remarks Schedule. If more space Is required) 5515 Aviation Way #1042 Caldwell ID 83605 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I I I I I I I I I III ' I I I I I I III II 111 11 li IE11 1 l 11 1 Irlll II 11111 C TY OF CALDWELL ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE % 4 F LINDEN STT CALDLDWELL DID 836050 ACORD 25 (2010105) 01988-2010 ACORD CORPORATION. All righla reserved. The ACORD name and logo are registered marks of ACORD