HomeMy WebLinkAboutBoise Window TintCERTIFICATE OF LIABILITY INSURANCE
DATE IMMIDDIYYYY)
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
INSURED
Christensen & Associates
PO Box 5538
Boise, ID 83705
Boise Window Tint LLC
10870 W Fairview Ave Suite 102 #1185
Boise, ID 83713
INSURER D :
INSURER E :
Jake Christensen
208-345-6852
COVERAGE
208-3844612
COVERAGES CERTIFICATE NUMBER: 00011373-0 REVISION NUMBER: 212
NAIL R
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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
SUBR
POLICYNUMBER
POLICY EFF
MMIDINYYYY
POLICY EXP
MWDD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE L^J OCCUR
AGGREGATE LIMIT APPLIES PER
POLICY I I JERCT I LOC
OTHER
Y
HLM51CL0475059-
06108/2024
06108/2026
EACH OCCURRENCE
$ 1,000,000
PREMISES jEa ocamncal
S 1,00000
MED EXP (Any one person)
$ 5,000
PERSONAL 8 AOV INJURY
S 1,000,000
GEN'L
GENERAL AGGREGATE
S 2 000 000
X
PRODUCTS -COMPlOPAGG
S 2,000,000
S
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON-0WNED
AUTOS ONLY AUTOS ONLY
OMBLNED IN LE LIMIT
Ea aeeldenl
S
BODILY INJURY (Per person)
S
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
JPer acadent)-_
y
S
UMBRELLA LIAB
EXCESS LIAR
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
S
AGGREGATE
S
DED RETENTIONS
S
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDE07
(Myandatory In NN)
es und
DESC PTIO OF OPERATIONS below
NIA
4097000
09/01/2024
09/01/2025
%� STATUTE EORH
EL EACH ACCIDENT
$ 100,000
E t DISEASE EA EMPLOYE
S 100,000
E L DISEASE POLICY LIMIT
S 500,000
DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached It more space i y
Blanket Additional Insured and Waiver of Subrogation as required by written cont It ii EnGeneral
Liability. LL
JUN 0 6 2025
L;hK I I1 IL:A 1 t MULUtK
City of Caldwell
205 S. 6th Ave
Caldwell, ID 83605
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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91988-2015 ACORD CORPORATION. All rights reserved.
ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD Printed by JMC on 06/03/2025 at 10:45AM