HomeMy WebLinkAboutCBL PaintingC4:) b" CERTIFICATE OF LIABILITY INSURANCE
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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.
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 certH iU lieu of such endorsement(s).
PRODUCER 01DWELL CiiY MFW
CONTACT NAME, Clanvel Martmez Alvarado
Us Insurance Placements LLC
PHONE. 208B052502 Fur
Mak
324 Caldwell Blvd Ste A
Narnpa, 10 83651 'APR l 2024
E•YAIL ADDRESS: CAyrnretgUSinwrancepL-Ke.com
INSURER AFFORDING COVERAGE
MNC e
INSURER A Palomar Excess and Surplus Insurance Company
16754
INSURE
INSURER a
BL PAINTING LLC . DBA CBL PAINTING LLC
INSURER C
705 West Goddard Road
tNSUR£R D
INSURER E
Boise. ID 83704
INSURER F
COVERAGES CERTIFICATE NUMBER- REIASION NUIMRER-
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.
INS
TYPE OF NSWANCE
ADM
SUOR
POLICY NUMBER
IMIWDDW"
(MWDOFYYYY)
Lam
X
COMMERCUIL GENERAL LUraILITY
EACH i =URRENCE
$ 1.000,000
CL/JMS•MADE X OCCUR
PREMISES Eao=mwce
S iDD•ODD
A
Y
PA001098000
04l11/2024
04111/2025
MEO EXP An one
$ 5,000
PERSONAL d ADV INJURY
1 •000•OW
N1 AGGREGATE LWT APPLIES PER
ENER AGGREGATE
2.000.000
pOLltr PRO. 1:1LOC
X
PRODUCTS - COMPrOP AGG
S 2 ODD.000
JECT
S
OTHER
AUTOMOBILE LIABR.RY
COMBINED SINGLE UW1T
S
(Ea aoudenr)
BODILY INJURY (Per pereml
S
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per aorideix)
$
PROPERTY DAMAGE
S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Per epLidersl
S
UMBRELLA LIAS OCCUR
EACH OCCURRENCE
Is -
AGGREGATE
S
EXCESS LAB CLAIMS -MADE
DED I I RETENTIONS
$
WORKERS COMPENSATIOK
PER
OTH-
AND FMPLOYERS' L ABILITY
ISTATUTE
I
JER
ANY PROPRIETOR➢ARTNEFLEXECUTIVE
OFFICERIMEMBER EXCLUDED'!
YIN
MIA
EL EACH ACCIDENT
S
E.L DISEASE • EA
S
(Marldaeery In NHj
H yes. Ommbe under
E.L DISEASE . POLICY LIMIT
S
DESCRIPTION OF OPERATIONS below
I
I
I
$
DESCRIPTION OF OPERATIONS/ LOCATIONS VEHICLES (ACORD 101. Addidonal RemaAn SdwdrM may be auwjwd It moll epece 4 repWisd)
Client has more than 10 years experience doing palnung and renovauons He mostly extenors 60% and 40% on new Ones
The city of Caldwell
PO Box 1179.
Caldwell ID 83606
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE VELL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTAWiE
G 1988-2015 ACORD CORPORATION. All rights reserved_
ACORD 25 1201WD3) The ACORD name and logo are registered marks of ACORD