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AC4RD'
CHARASS-01
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
218=24
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 pollcylles) 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 , cT Heidi Reeder
WAFD Insurance Group, Inc. (nico°, N , E,n1: 208} 344-6565 FAX N,):(208) 344-7398
513 Cleveland Ave
Cal dwell,ID83605 heidir wa nsurance.com
INSURERS} AFFORDING COVERAGE NAIC t
INSURER : Great American Insurance Company of New York 22136
INSURED INSURERS: _
Charitable Assistance to Community's Nameless Inc; dba INSURERC .
CATCH
503 S Americana Blvd INSURER D .
Boise, ID 83702 INSURERE:
INSURER F • ,
COVERAGES CERTIFICATE NUMBER- REVISION NUMBFR-
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRR
TYPE OF INSURANCE
DDNSD
SUBWVD
POLICY NUMBER
POLICY EFF
POLICY EXP DATon
LIMBS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS,MADE X❑OCCUR
X
PAC406763108
111/2024
1/1/2025
EACH OCCURRENCE
1,000,000
D M TO RENTED
$ 100,000
MEDEXP (Any oneperson)
$ 5,000
PERSONAL & ADV INJURY
110001000
GENLAGGREGATE LIMIT APPLIES PER
X POLICY ❑ T T F I LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS •COMPlOPAGO
2. WO, 000
S
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$
BODILY INJURY Per rson
S
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
IN,11RY Per occident)
BODILY
PeOra Rtlsr MAGE
$
y Ep
AUTOS ONLY AUTOS ONLY
s
UM8RELLA LIAR
OCCUR
EACH OCCURRENCE
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED I I RETENTION$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YINSTATUTE
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFIC£RIMEMBER EXCLUDED?
iMandrtory In IN)
If yes describe railer
N 1 A
PER OTH-
ER
EL EACHACCIDENT
$
E L. DISEASE - EA EMPLOYE
i
E L. DISEASE - POWY 4 iM'
DESCRIPTION OF OPERATIONS below
1
11,
T
DESCRIPTION OF OPERATIONS I LOCATIONS IVEFICLES (ACORD 101, Additional Remarks Schsdpls, maybe attached If more space Is required) RECEIIV9 BY
6ALgY'rE:LL(,OY CLERK
FEB ,j 9.02.4
City of Caldwell
411 Blaine St
Caldwell,1D 83605
ACORD 25 (2018103)
SHOULD ANY OF THE A13OVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED RI
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
(71900--2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD