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HomeMy WebLinkAboutCustom Residential PlumbingA� pCERTIFICATE OF LIABILITY INSURANCE DATE6/DD24 7/16/2024® 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 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 IIeU of aLich endorsement(s). PRODUCER WNIAtol NAME: ANNA SCOTT PHONE (20B) 466-8944 F� N0. 42001465-0539 Ballenger Insurance P 0 BOX 450 E-MAIL ADDRESS: ANNAQAaT.?.x rJGERINSVRANCE . Cab1 INSURERS AFFORDING COVERAGE NAIC / INSURERA:Auto—Owners Insurance Company NAMPA ID 83653 INSURED INSURERS: INSURERC: CUSTOM RESIDENTIAL PLUMBING INSURERD: 11854 WILLIS RD INSURER E : INSURERF: MIDDLETON ID 83644-5206 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, NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTV61TH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 I LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A --1 CLAIMS -MADE 1z OCCUR DAMAGE TO PREMISES eocccrrence S 300,000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 57303517 07/15/2022 07/15/2025 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 %t POLICY ❑ JEa LOC PRODUCTS -COMPIOPAGG $ 2,000,000 5 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT nl)1, s 000, 000 BODILY INJURY (Per person) $ X ANYAUTO 51-303-517-00 07/15/2022 07/15/2025 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S NON -OWNED HIREDAUTOS AUTOS s UMBRELLALIAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS L1AB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION B- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE- EA EMPLOYEE S (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S A 5103 AVIATION WAY #605 57303517 07/15/2023 07/15/2025 BUILDING COVERAGE $147,300 CALDWELL, ID 83605 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) 5103 AVIATION WAY #605 F?ECf.111"ojiy CALDIMLLL b-TY PLERK, AUG n7e. CERTIFICATE HOLDER CANCELLATION LAUSTIN@CITYOFCALDWELL.ORG CITY OF CALDWELL PO BOX 1179 CALDWELL, ID 93605 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 SCOtt/ANNA { Z.A- @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) INS025 (2o1401) The ACORD name and logo are reglstered marks of ACORD