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Home My WebLink AboutWilliam NelsonCERTIFICATE OF LIABILITY INSURANCE I DATE(MMMDNYYY) 4/11/2024 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 cond itions 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 Western Community Ins Co INSURED INSURER B linintllullnllnnitinininitit,ltintllitllrl INSURERC 9ELSON WILLIAM R 14 S 14TH AV INSURER0 CALDWELL ID 93605 INSURER E, 208-232-3608 COVERAGES CERTIFICATE NUMBER: REVISION NU M BER: AF0670 39519 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. INBR 611 TYPE OF INSURANCE DD POLICY NUMBER ML'UDD EFF PMIDOLID EXP LIMITS A GENERAL LUkBILrrY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Ci OCCUR _ GENL AGGREGATE LIMIT APPLIES PER: POLICY PRO 7 LOC N N 8M8o890 1 5/06/24 5/06/25 EACH OCCURRENCE S 1,000,000 100,000 PPREMISEES (a occurrence) MED EXP (Any one person) 5,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 PRODUCTS. COMPIOP AGG S INCLUDED S AUTOMOBILELWBILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS N N L L a accident S BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE P id S S UMBRELLA LtAB EXCESSLWB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERA,EMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below N I A VuC STATU- OTH- TORY LIMITS ER E L EACH ACCIDENT S E L DISEASE - EA EMPLOYE $ E L DISEASE - POLICY LIMIT 1 $ DESCRIPRON OF OPERATIONS! LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. H more space Is required) Re: 4321 Aviation Way #116 & #266 litelrtrlltrlltrllrrrtlltl�rtllr��lil��lltlltlrlrll CITY OF CALDWELL PO BOX 117 CALDWELL D 83606 ACORD 25 (2010105) UANC:CL.LA I IUN 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 Z / l �e�2-0-6z 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD