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HomeMy WebLinkAboutDaniel & Jo Dee Arnold,�coFro® CERTIFICATE OF LIABILITY INSURANCE °ATEtMMmomYY) 6/o3/zo24 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(tes) 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 lieu of such endorsement(s). PRODUCER Western Community Ins Co PO BOX 4848 Pocatello, ID 83205-4848 CONTANAME: C HOODENPYLE JASON F PHONE EKtiv 208- oo- o FAXNo): 208-232-3608 C. E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Western Community Ins Co 39519 INSURED `` IIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII�lllllllllillllllll ARNOLD DANIEL R INSURER B : INSURER C : INSURERD: ARNOLD JO DEE 13448 LAKES6 I DDgVILLAGE DR NAMPA ID ttSS INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR_- AF0670 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, ILT R TYPE OF INSURANCE A°RL SUER POLdCY NUMBER MMlOIDDIIYYW MMIDOIYYVY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1� OCCUR Y N 8LB75001 6/28/24 6/28/25 EACH OCCURRENCE $ 1,000,000 X ENT PREMkSES Ea occurrence $ 100,000 MED EXP (Any one person) $ 51000 PERSONAL BAOV NJURY $ 1 000 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PROJEC- LOC PRODUCTS - COMPIOP AGG $ INCLUDED AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCIIEDUL FD AUTOS AUTOS NON-OWNFD HIRED AUTOS AUTOSaccide Ea COMBINEDSINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PeOPERTntDAMAGE $ UMBRELLA LIAB EXCESS LIAB CLAIMS VALE EACH OCCURRENCE S HOCCUR AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N I A VnC STATU- OTH- E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEd S E L. DISEASE - POLICY LIM T I S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace la required) AFCEWO BY CALI)VVELL City CLERK 2024 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I I I I I1111 I I I I I I II CANYO CO I I I I I I II III I r I I I1lI l ll l ll l l l l ll l TY CITY OF CALDWELL THEIR ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE OFFICE I RECTORS AGENTS EMPLOYEES PO BOX CALDWELf 14L,83606 ACVKD Z5 (ZU1vtp0) © 1958-2010 ACORD CORPORATION. All rights reserved. 7 The ACORD name and logo are registered marks of ACORD