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Home My WebLink AboutCoffman AssociatesA`� o® CERTIFICATE OF LIABILITY INSURANCE DATEYI 4123I202n4 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 terns 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 Hub International Mid -America 9200 Ward Pkwy CONTACT NAME: Certificate Department . 816-708-4600 FAX PNONE No : 816-203-4425 ADDRESS: HUB-KC.Certificates HUBlnternational.com Suite 500 Kansas City MO 64114 INSURERS AFFORDING COVERAGE NA1C# INSURER A: Travelers Property Casualty Company of America 25674 INSURED Coffman Associates Inc. 12920 Metcalf Ave, Ste 200 INSURER B : Travelers Casualty Sr Sure Company of America 31194 INSURER c : The Travelers Indemnity Company 25658 INSURERD: Travelers Property Casualty Insurance Company 36161 Overland Park KS 66213 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER,'2377gA743 REVISInN NIIMRFR-. 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 LTR TYPE OF INSURANCE ADDL $UBR POLICYNUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E OCCUR Y 6809134407092447 5/1/2024 5/1/2025 EACH OCCURRENCE $ 2,000,000 DAMAGE O RENT ED PREMISES Ea ocwrren $1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; POLICY E jECT ❑ LOC I GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMPIOP AGO $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y BA7R2079652447G 511/2024 511!f; E° aadrdeDISINGLE LIMIT $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAR X OCCUR Y CUPOS0307882447 5/1/2024 5h12025 EACH OCCURRENCE $ 4.000,000 JDED AGGREGATE $ 4,000,000 EXCESS LIAB CLAIMS -MADE I X RETENTION $ 1 n rinn $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? Q N 1 A U80S0227392447G 51112024 5/1/2025 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Professional Liability Retry Date July 12, 2003 105314904 511112024 5/112025 Each Occurrence/Ded General Aggregale/Ded 2.000.000/50,000 2,000.0001150,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: Airport Master Plan - Caldwell Industrial Airport (EUL); The City of Caldwell is Additional Insured as respects the General„ Auto and Umbrella Liab'lity policies. 30 day cancellation notice to the certificate holder, 10 days for non-payment when required by written contract. C.ALDWELL i,. N CLERK MAY 7 :� cdZlt Pf 9 ill I i LRLt■ -IePJ M ■J-i►1 City of Caldwell 411 Blaine Street 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 t04A 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD