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HomeMy WebLinkAboutCC Group Holdings LLCACORU CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 03/19/2024 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(iss) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and cgnditions 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 endorsements). PRODUCER r Western Community Insurance Company NAMNT E•CT Jared Hall PHONE 208-425-2280 FAX No ; 208 425-2281 ADD E S: jhall@idfbins.com ADOnE ldfbins.com Jared Hail INSURERS AFFORDING COVERAGE NAIC 0 Hillcresl Ave INSURER A; Western Community Insurance Company 39519 American Falls ID 83211 INSURED INSURER B : INSURER C : CC GROUP HOLDINGS LLC INSURER D : BRIAN COOPER INSURER E : 863 W QUARTER DR INSURER F : EAGLE ID 83616 COVERAGES CERTIFICATE NUMBER: 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 TYPEOFINSURANCE ADOL SUBR Ima POLICYNUMBER POLICY EFF MMIODrfYYYI POLICY EXP (MMIDDIYYYYI LIMBS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE FXI OCCUR PREMISES Ea occurrence S 100,000 MED EXP (Any one person► $ 10,000 PERSONAL & ADV INJURY S 2,000,000 A N N 8V744501 03/18/2024 03/18/2025 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS -COMPIOP AGO $ NOT INCLUDE S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acddant S BODILY INJURY (Per person) S ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per acadent) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE S HCLAIMS-MADE AGGREGATE S A EXCESS LIAB DED I I RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ A OF CERIMEMBEREXC UD D7ECUTIVE ❑ NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more apace Is required) 5103 AVIATION WAY #831 CALDWELL, ID 83605 HANGER $450,000 FURNISHINGSITOOLS $100,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF CALDWELL AUTHORIZED REPRESENTATIVE 621 E CLEVELAND CALDWELL ID 83605 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD