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Home My WebLink AboutCapitol Paving Co.AC"Ma DATE IMMIDDrYYYY, 11%. � CERTIFICATE OF LIABILITY INSURANCE 12/2012023 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 CONTACT FEDERATED MUTUA_INSURANCE COMPANY NAME: CLIENT CONTACT CENTER PHONE HOME OFFICE: P.O BOX 328 IAIC. No. Eatl; 888-333-4949 tale Nol: 5074464%4 OWATONNA, MN 55060 E-MAIL __ .__ INSURERS AFFORDING COVERAGE _ NAIC It INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 378-894-0 INSURER B: CAPITAL PAV NG COMPANY INSURER C; 2403 S EMPIRE WAY _ BOISE. ID 83709-3206 INSURER D; INSURER E• _. INSURER F: COVERAGES CERTIFICATE NUMBER: 62 REVISION NUMBER: 0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L STED 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 SSUEV OR MAY PERTAIN. THE NSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND COND -IONS �F SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS NSR TYRE OF INSURANCE IADDL�J.e. SUBR POLICY NUMBER PO 1 Y EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1.000 000 CLAIMS•MADE ❑X OCCUR DAMAGE TOner,ENTED PREMISES 5100 000 MED EXP IAny one pemm) 510.000 A N N 1881111 0110I 2024 01101/2025 PERSONALS ADV INJURY V.D00,000 �� GEjNL AGGREGA`TE LIMIT APPLIES PER: GENER/LL AG EOAT 00 00 I X I no POLICY F C - ❑ LOC PRODUCTS 8 COMPIOP AGO 42.0K000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY nuTT :D N N 18811 1 01/01/2024 01/0112025 COMBINED SINGLE LIMIT Ea aonaen g1,000,000 BODILY INJURY {Per Penanl BODILY INJURY {PwAcsid"* HIRED AUTOS ONLY dNONVAINEDAUTOS ONLY PROPERTY IPeLACCIZ 6 DAMAGE X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $3 ODD. ODD A EXCESSL" CLAIMS -MADE I`j N N 1881113 01,01,2024 01/01/2025 $3,000,000 AGGREGATE DED I RETENTICN I COMPENSATION �WORIUERS AND EMPLOYERS' LIABILITY �,U ANY PROPR EFORIPARTNER1 EXECUT VE X PER STATUTE OTHER E.L EACH ACCIDENT $1,000,000 A OFFICERIMEMBER EXCLUDED? I N/A N (Mandatory In NH? If yes, describe undrr 1881114 01/01/2024 01/01/2025 El DISEASE EA EMPLOYEE 1,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT S1,DOp.ODD DESCRIPTION OF OPERATIONS f LOCATIONS r VEHICLES IACORO 101 Addillonal Remarks Smed4le, may be ■Nached of more space is requiredl CERTIFICATE HOLDER CANCELLATION 378-894-0 CITY OF CALDWELL 82 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO BOX 1179 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CALDWELL, ID 83606-1179 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHOR ZED REPRESENTATIVE Q 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2018f 3) The ACORD name and logo are registered marks of ACORD RECEIVED BY CALDWELL CITY CLERK JAN - 3 2024