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HomeMy WebLinkAboutCaldwell Rotary® oRo CERTIFICATE OF LIABILITY INSURANCE GATE (MMlOb1YYYY) 711I2024 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 Hylant Group Inc 811 Madison Ave Toledo OH 43604 Insured All Active US Rotary Clubs & Districts Caldwell Rotary Altm Risk Management Dept. 1560 Sherman Avenue Evanston. IL 60201-3698 Crystal Gleason AM NE:PHONE ry (NC,No. ExU' 419 259-2710 FAX No) 419-255-7557 EaIIAIL ADDRESS: INSURER(8) AFFORDING COVERAGE NAIL 9 INSURER A: Westchester Surplus Lines Insurance Company 10172 c: D: E: COVERAGES CERTIFICATE NUMBER: 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 7ADD POLICY EFF POLICY EXF -- LTR TYPE OF INSURANCE POLICY NUMBER MMIDOfYYYY r MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y CLAIMS -MADE Z OCCUR r ' G73578917003 7/1/2024 7r10702$ £ACHOCCURRENCE DAMAGE TO REN`KD PREMISES t+d4S=;urief+09t $2.000.000 $ 504,000 X Liquor Liability Included MEO EXP{Any one person) $ PERSONAL ADV INJURY $ 2,000.000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $4,000.000 OTHER: $ A AUTOMOBILE LIABILITY Y G73578917003 7/1/2024 70 COMBINEbSINGLELIMIT Ea acddenl $2,000,000 BODILY INJURY (Per person) ANY AUTO $ OWNED SCHEDULED AUTOS ONLY AUTOS $ IX BODILY INJURY (Per accident) HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY ` $ PROPERTYDAMAGE Per accident i $ UMBRELLA LIAR HCLAIMS-MADE OCCUR Not applicable EACH OCCURRENCE $ AGGREGATE EXCESS LIAR $ DEO I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N Nota livable pp PER OTH- STATUTE ER E.L. EACH ACCIDENT ANYPROPRIETOPJPARTNERIEXECUTIVE S OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE (Mandatory In NH) S if es, descibe under DESCRIPTION OF OPERATIONS below I I I $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) The Certificate Holder is included as an additional insured where required by written contract or permit subject to the terms and conditions of the general liability policy, but only to the extent bodily injury or property damage is cause in whole or in part by the acts or omissi t�hsured. RECE Y OLF-SK CAL1DW F-1 t p,� Is 202� CERTIFICATE HOLDER CANCELLATION City of Caldwell SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 1N ACCORDANCE WITH THE POLICY PROVISIONS. Caldwell, Idaho 83606 AUTHORIZED REPRESENTATIVE Cx"� K . LJ�L I"oa,-, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD