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ACORhr CERTIFICATE OF LIABILITY INSURANCE
FDATE(MMIDDIYYYYI
`,�
7/22/2024
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(ies) 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 endorsement(s).
PRODUCER
NAME: CONTACT Josh McDonau h
Marsh & McLennan Agency LLC.
PHONE FAX
. 314-594-2661 Arc No): 888-307-1561
Company St. Louis
E-MAIL osh.mcdonou h marshmma.com
825 Maryville Centre Drive, Suite 200
INSURERS AFFORDING COVERAGE
NAIC N
Chesterfield MO 63017
INSURER A: Travelers PropertyPropeqy Casualty Co Of Amer
25674
INSURED ADBCOMPAI
INSURER B: Amerlsure Mutual Insurance Company
23396
ADB Companies, C.
L
ADB Companies, LC
INSURERC: BeNey Regional Insurance Company
29580
INSURERD:
18777 US HWY 66
Pacific MO 63069
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER:709821960 REVISION NUMBER:
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.
INSR
LTR
OF INSURANCE
ADDLTYPE
JHM
SUER
POLICY NUMBER
MMI��YIYYW
MW�O YYY
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
CPP21201530202
4/1/2024
411/2025
EACH OCCURRENCE
$2.000.000
CLAIMS -MADE FRIOCCUR
DAMAnE TO RENTED
PREMISES Ea ci=trencel
$1.000.000
MED EXP (Any one person)
$10.000
PERSONAL & ADV INJURY
$ 2.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 4.000.000
POLICY JET a LOC
PRODUCTS-COMPIOPAGG
$4,000,000
$
OTHER:
I
B
AUTOMOBILE LIABILITY
CA21201520202
411I2024
4/1/2025
COMBINED SINGLE LIMIT
Ea accident
$ 5,000,000
BODILY INJURY (Par person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
$
C
UMBRELLA LIAB X
OCCUR
SCS880000630
4/1/2024
411)2025
EACHOCCURRENC£
S5,000,000
X
AGGREGATE
S 5,000,000
EXCESS LIAR
CLAIMS.MADE
DED X RETENTIONS n
S
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOPJPARTNERIEXECUTIVE
WC21201540202
M21254280002
4/1/2024
4/112024
4012025
4W2025
X PER H_
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
OFF ICERIMEMBEREXCLUDE09
N f A
E.L. DISEASE • EA EMPLOYEE
$1,000.000
(Mandatory in NHI
It as, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
A
LeasedrRented Equipment
6304PS20320
12/3112023
12/31/2024
Any one Item
$600.000
IncJ Scheduled Unns
Installation Floater
Owned Equipment
A One Site
$1 PerContract/Loan
DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
t andd as an Additional subject o the provisions and limitations of the for General Liabilitypwwith respect to work performed by the Named Ir tit Ft l�hreFW y written contract,
agreement (tof or Caldwell
p J P policy.2024
City of Caldwell
621 Cleveland Blvd
Caldwell ID 83605
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
h%"' Qom,
t1<i 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD