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Home My WebLink AboutBrooks Excavation Co.ACORV `� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDOIYYYY) 1 5f1912025 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($). PRODUCER NAME: Jo Colombo Fuhriman insurance PHUFAL FAX NC No Ext : (208) 327-3400 ADDRESS: Jokrxfuhrimanins.com 9603 W. Chindcn Blvd INSURER(S) AFFORDING COVERAGE NAIL N Garden City ID 83714 INSURER A : 01110 SECURITY INS CO 24082 INSURED INSURER B : 01110 CAS INS CO 24074 lirooks 1,xcavation Company Inc INSURER C 9762 1 Forsesboe Bend Rd INSURER D INSURER E : Ro',c ID 837t4 INSURERF: COVERAGES CERTIFICATE NUMBER- RCVICIMPd IJI IIIaRFI?• 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. LTR TYPE OF INSURANCE INSO WVO POLICY NUMBER (MWDOfrM) (MWDDIYYYY) LIMITS x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE -11 S 1,000,000 PREMISES (Ea occurrence) S 1,000,000 MED EXP (Any one person) S 15,000 PERSONAL 8 ADV INJURY S 1,000,000 A Y BKS56505960 06101 2024 06101 2025 'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ECT LOC MOTHER: GENERAL AGGREGATE S 2.000,000 PRODUCTS - COMP/OP AGG S 2,000,000 S AUTOMOBILE LIABILITY (Ea accident) S 1,000,000 BODILY INJURY (Per person) S ANY AUTO A OWNED R/ SCUTOS HEOULEO AUTOS ONLY /� A BAS56505960 06/0U2024 06101'2025 BODILY INJURY (Per accident) S HIRED �/ NON•OWNFD AUTOS ONLY /� AUTOS ONLY �/ /� (Per accideng S S x UMBRELLA LIAB MLAIMS-MADE CCUR EACH OCCURRENCE S 1,000,000 B EXCESS LIAB US056505900 06101 2024 06101 2025 AGGREGATE S 1,000,000 DEO I )C I RETENTIONS 10,000 TRIA S ORKERS COMPENSATION NO EMPLOYERS' LIABILITY YIN Y PROPRIETORIPARTNERIEXECUTIVE El FICERIMEMBER EXCLUDED? NIAE.L STATUTE ER EACH ACCIDENT S E.L DISEASE -EA EMPLOYEE S andatory In NH) esdescribe undE.L SCRIPTION OF OPERATIONS below II DISEASE -POLICY LIMIT S A Rentedfl-cased Equipment BM057792073 06l01.2024 06/01,2025 Limit Deductible S250.000 S500 J DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached it more space Is required) CALDWELL CITY CLERK City of Caldwell is included as Additional Insured with regards to General Liability MAY 2 0 2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. PO }Sox 1179 I AUTHORIZED REPRESENTATIVE pp Caldwell, ID L 83606 �..-he C0 1958-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD