HomeMy WebLinkAboutBosch Lighting Inc.CERTIFICATE OF LIA
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONt
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENS
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITI
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: M the certificate holder is an ADDITIONAL INSURED, the
If SUBROGATION IS WAIVED, subject to the terms and conditions of 1
this certificate does not Confer rights to the certificate holder In lieu of s
PRODUCER
StilkFarM Glen Forbes Agency
903 W 1700 S
0
INSURED
Syracuse
BOSCH LIGHTING LLC
12790 W RENWICK ST
BOISE, ID 83709
UT 84075
COVERAGES CERTIFICATE NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUI
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHEF
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIB
u EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM,
TYPE OF INSURANCE
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
93-MP-M586-3
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY 0 PRO- ❑
JEC7 LOC
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAR I I OCCUR
EXCESS LIAR II —II r1 AM.
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORIPARTNERrEXECUTIVE
OFFICEMMEMBER EXCLUDED] N I A
(Mandatory In NH)
If yea, describe under
04/18/2024 10411812025
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more apace is requl
HOLDE
(MMlDDIVYYY)
BILITY INSURANCE 7011/1612025
Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
ITE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
poiicy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
he policy, certain policies may require an endorsement. A statement on
Ich endorsements .
CONTACT Glen Forbes
NAME:
PHONE 801-779-2423 FA)(
AIC No):
EdMAIL
ADORE.., glen@agentglen.com
INSURER S AFFORDING COVERAGE
NAIC 0
INSURER A: State Farm Fire and Casualty Company 0
25178
INSURER B
INSURER C :
INSURER D
INSURER E :
INSURER F :
UMISEK:
ZED NAMED ABOVE FOR THE POLICY PERIOD
. DOCUMENT WITH RESPECT TO WHICH THIS
=D HEREIN IS SUBJECT TO ALL THE TERMS.
3.
LIMITS
EACH OCCURRENCE
S 1,000,000
PREMISES O frza occu"Dncel
S 100,000
MEO EXP Any onePerson)
$ 5,000
PERSONAL SADVINJURY
S 1,000,000
GENERAL AGGREGATE
S 2,000,000
PRODUCTS • COMPIOP AGG
S 2,000,000
S
COMBINED SINGLE LIMIT
E aCClden
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
S
JiDef,Aceldenji
i
EACH OCCURRENCE
:
AGGREGATE
$
S
STATUTE ER
E1, EACH ACCIDENT
$
E.L. DISEASE • EA EMPLOYE
S
E.L DISEASE -POLICY LIMIT
S
JAN 2 g 2024
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
THE CITY OF CALDWELL ACCORDANCE WITH THE POLICY PROVISIONS.
PO BOX 1179 AUTHORIZED REPRESENTATIVE
CALDWELL, ID 83606 f 0
-- jvj 0,6
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ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
1001486 132849 13 04,22-M25