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� Rom+ CERTIFICATE OF LIABILITY INSURANCE FDA719„�'Q"Y'
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 `' '19.`'- 1'7Bal:ner Rlln[In�l
The Hartwell Corporation PHONE
PO Box 400 AIC, No, Euq: (208) 522-5656
Caldwell, ID 83606 E-MAIL Ess; natal ie thehartv
INSURED
Caldwell Veterans Council Inc
PO Box 1635
Caldwell, ID 83606
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
84
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
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
POLICY EFF
POLICLTR Y EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FA] OCCUR
X
Z00927
7/17/2024
7/17/2025
EACH OCCURRENCE
5 1,000,000
DAMAGE TO RENTED
$ 100,000
MED EXP (Any oneperson)
$ 6,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER,
X POLICY ❑ jpp&- LOC
OTHER:
GENERAL AGGREGATE
S 2,000,000
PRODUCTS-COMPIOPAGG
$ 2,000,000
S
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUU�TOSyy��NNEEpp
AUTOS ONLY AUTO ONl Y
COMBINED SINGLE LIMIT
S
BODILY INJURY Per n
$
BODILY INJURY Per accident
$
Pd%OaE�RI MAGE
S
S
UMBRELLA LIAB
EXCESS LIAB
CLAIMS -MADE
EACH OCCURRENCE
S
HOCCUR
AGGREGATE
$
DEO I I RETENTIONS
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y f N
ANY PROPRIETORIPARTNER/EXECUTIVE F
QFFICERMI�MBER EXCLUDED9
andetory n NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
TATUTE OTH-
I ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RECEIVEo By
City of Caldwell is named additional insured perform attached. 3"WELL C, TY CLEFA
JUL l L, 2024
SHOULD ANY OF THE ABOVE DESCRIBED PO ICIES BE CANCELLED BEFORE
CI of Caldwell THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City ACCORDANCE WITH THE POLICY PROVISIONS
PO BOX 1179
Caldwell, ID 83606
AUTHORIZED REPRESENTATIVE
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ACORD 25 (2016/03) ^ 1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD