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Home My WebLink AboutCaldwell Senior CenterI -At ntRN-AII CWARNFR ��R�� CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY) s/2512024 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(les) 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 endorsements . PRODUCER The Hartwell Corporation PO Box 400 Caldwell, ID 83606 C TACT Natalie Huntley PHONE 2a81 aye-� s7s Fiu"C. No (A/C, No, EKI : ) 1 ) �" €�s. natalie�thehartwellcorp.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: United States Liability. Insurance Company 25895 INSURED Caldwell Senior Citizens Inc 1009 Everett Street Caldwell, ID 83605 INSURER e : INSURER C : INSURER D : INSURER E INSURER F : e'.C�TIC if —ATM ui rxaoon. RFVICIL' Ni NI IMRFR' vv r urn va.v 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 LTRWE TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY E%P LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X NPPIS76644G 6/1112024 6/1112025 EACH OCCURRENCE $ 1,000,000 OAMAGETo'ENTED $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY El jpa LOG OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG S Included $ AUTOMOBILE LIABILITY ANY AUTO AUTOSONLY AUTOSNED ULED �Np p yyry p AUTOS ONLY A11T8� ONLYOBER (Fa acddent) COMBINED SINGLE LIMIT S BODILY INJURY Per S BODILY INJURY (Per accident) S nDAMAGE S S UMBRELLA LIAS EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY FICEiOPRIIMT6OERIPARTNERIE ECUTIVE J$ (Mandatory n NH] If yyes, deswbe under DESGRIPTION OF OPERATIONS below NSA PER OTH- TL'T EL.EACH ACCIDENT E L DISEASE - EA EMPLOYE S E.L DISEASE - POLICY LIMIT S F DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space is required) AECEIIr'b BY The City of Caldwell is named additional insured per form provided. CAI DWFLL i, fY CLtfiX J UN 2024 City of Caldwell PO Box 1179 ATTN City Clerk Debbie Geyer 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 ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD