HomeMy WebLinkAboutLeo & Anita BergerIEoR�" CERTIFICATE OF PROPERTY INSURANCE o3r� DATE
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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.
PRODUCER I ce1oACT DAVE 13OLLINGER
DAVE BOLLINGER
State/hrm 1621 12TH AVE RD
As NAMPA, 10 83686
208-4614411
INSURERISI AFFORDING COVERAGE HAIC 0
INSURED t INSURER A : State FART Fire and CBSuatty Company 25143
BERGER, LEO V 8r ANITA L INSURER e :
2321 S SAN FRANCISCO LN INSURER C :
NAMPA. ID 83666.8218 INSURERS:
INSURER E :
INSURER F :
r_nVFRet3aC CERTIFICATE NUMBER: REVISION NUMBER:
LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (Ankh ACORD 101, AddWenal Rwnerha Schodulo, It more +peas Is requlredl
HW- 2112; HOMEOWNERS POLICY - LOCATION' 23218 SAN FRANCISCO LN. NAMPA, ID 83686-8218
HO-2425; OFF PREMISES STRUCTURES - LOCATION: 5515 AVIATION WAY; 01043, CALDWELL, ID 83605
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 SU H POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE Of INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMRIDNYYYI
POLICY EXPIRATION
DATEIMMIODIYYYY)
COVERED PROPERTY
LIMITS
A
PROPERTY
CAUSES OF LOSS
DEDUCTIBLES
1
}
12-BA-U214-1
06►0212024
06/02/2025
X
BUILDING
PERSONAL PROPERTY
BUSINESS INCOME
EXTRA EXPENSE
RENTAL VALUE
BLANKET BUILDING
BLANKET PERS PROP
BLANKET BLDG d Pa
LIABILITY
Lim GEN AGG
i 998,800
�{
S 749.100
BA6IC
BUILDING
0.5% all per
i
BROAD
i
X
SPECIAL
CONTENTS
0.6% all per
i
EARTHOUAKE
S
WIND
i
FLOOD
X
)(
S
S 500,000
i 1,000,000
INLAND MARINE
CAUSES OF LOSS
NAMED PERILS
TYPE OF POLICY
S
S
POLICY NUMBER
i
S
CRIME
TYPE OP POLICY
r
i
i
S
BOILER t MACHINERY I
EQUIPMENT BREAKDOWN
l
S
S
1
•
i
i
SPECIAL CONOMONS I OTHER COVERAGES (ACORD 101, AddMMml Remnkr, Sahaduh, may be dlaahad If non apace Is r",Amd)
i APR 0 2 2025
CALDWELL AIRPORT
CITY OF CALDWELL
4814 E LINDEN ROAD
CALDWELL, 10 83605-8036
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREIF, NOTICE WILL BE DELIVERED IN
ACCORDANCE VHTH THE POLICY PROVISIONS.
vPRESENTATIVE , 13011'1�QJc b/
Q 1995.2015 ACORD CORPORATION. All rights reserved.
ACORD 24 (2016103) The ACORD name and logo are registered marks of ACORD
1004360 142986.5 04-24-2020
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