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Home My WebLink AboutHolland Supply Inc.�1 HOLLA-6 CERTIFICATE OF LIABILITY INSURANCE OP 10- AA D 07/12/202 YY) a7r1 zrzoza 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 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 endorsements . PRODUCER 616-355-2920 The Koop Group David Koop c Acr Andrew Koop PNOE FAX AICN61- -AIC N;616-355-2966 Miss, INSURE S AFFORDING COVERAGE NAIC N Fremont Insurance Co. 13994 41Suppply Inc Randy DoWilde 1326 Lincoln Ave. Holland, MI 49423 IN R INSURER C INSURER INSURER E, INSURER F : COVI~RAGF& rWRTWICBTF IdIlMRKa- Dr=vICIFI ] k] iunro. 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. POLICY POLCYEXPiINSR ADDLPOLCYNUMBERJLM TYPEOFIN$URANCE LIMITS A X COMMERCIAL GENERAL LIABILITY EACHODEVRPENCE. 1,000,000 CLAIMS -MADE [g] OCCUR X CPPOO4907110 01/3012024 01130/2025 100,000 �LAMAGE TO RENTED ME EXPAr:Yone person) t 5,000 PERSONAL & ADV INJURY S 1,000,000 ENL AGGREGATE LIMIT APPLIES PER: X ❑ GENERAL AGGREGATE $ 2,000,000 S 2,000,000 POLICY JEa LOC PRODUCTS-!:OMPfQP A TH R A AUTOMOBILE LIABILITY CoMBR{I NEC) SINGLE LIMIT 11000,000 AAAIidanL- S X I ANY AUTO CAP003652204 01130/2024 0113012025 B��: r INa«RY IPer person} S OWNED SCHEDULED I AUTOS ONLY AUpTNOSYy�E BODILY INJURY IPer accident} S X I AUTOS ONLY X AUTO ONL� PerOacciCenl'�MAGE i — ; A X ;UMBRELLA LIAB X OCCUR EACH JCCURRENCE 4,000,000 EXCESS LIAB CLAIMS -MADE CUP003163711 0113012024' 01130120251 A21REGATE 4,000,000 DED X RETENTION S 10,000. _ A ON OTH X AND EMPLOYOERS' LIABIILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE WCPOQ2338106 STATUTE 01/30/2024 01/3012025 E L EACH ACCIDENT y 1,000,000 OFFICERIMEM BER EXCLUDED? l (Mandat. ry In NH) I N I A 1,000,000 r Les, describe untler EL DISEASE - EA EMPLOYE _S SC PCR-TI h5 below � Y T 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remmo Remarks Schedule, may be attached If re space Is required) `GEiVr7 iiY raLDwELL u, ry CLERK AUG 1 2. 2024 CFRTIFIrATF WnI nr-D PAW'Ml I ATrnu SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Caldwell THE EXPIRATION ATE THEREOF. ACCORDANCE WITH THE POLICY PROVISIO SCE WILL BE DELIVERED IN PO Box 1179 Caldwell, ID 83606 AUTHORIZED REPRESENTATIVE David Koop ACORD 25 (2016/03) * 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD