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HomeMy WebLinkAboutDee BaileyACORO� �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDDNYYY) 04/03/2024 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 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 NAME: Chris Larsen Chris Larsen 6275 N Linder Rd Ste 120 PHONE 208IF -89$-$$48 'AX No E-MAIL ADDRESS: clarSen Idfbins.com INSURERS AFFORDING COVERAGE NAIC 0 Meridian, ID 83646 INSURERA: Western Community Insurance Company 39519 ID INSURED INSURER B Dee Bailey INSURER C : PO BOX 967 INSURER D : Nampa, ID 83653 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR: 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. tLTR TYPEOFtNSURANCE ADDL POLICYNUMBER MOLDIpYEFF POLIY MMFDDN XP LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS -MADE a OCCUR Y N 8MT54001 04/23/2024 04/23/2025 EACH OCCURRENCE S 500,000 PREMISES Eaoocurrence S 100,000 MED EXP (Any one person) S 5,000 PERSONAL d ADV INJURY s 500.000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JE T LOC OTHER: GENERAL AGGREGATE S 1.000,000 PRODUCTS - COMPIOP AGG S 1,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SIN LE LIMIT Ea accident S BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per aaitlenl $ $ A UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ DED I RETENTIONS $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANYPROPRIE70PJPARTNERIEXECUTIVE OFFICERfMEMBEREXCLUDED? ❑ (Mandatory In NH) tt yes, desaibe under DESCRIPTION OF OPERATIONS below N f A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE E E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddMonal Remarks Schedule, may be attached If more space Is required) Proof of General Liability for hangar at 5125 Aviation Way #803 CERTIFICATE HOLDER CANCFI I ATInNi SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. 4814 E Linden St AUTHORIZED REPRESENTATIVE Caldwell, ID83605 1��� 01988.2015 ACORD CORPORATION. Ali rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD