HomeMy WebLinkAboutCapitol Hill HoldingsA 40 0® 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 pollcy(les) must 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
CAME: Robyn Greene
Leavitt Group of Boise
PHONE (208)375-9199 NC: 120a)65a 1951
6220 N Discovery Way, Ste 100
EAWLSS:robyn-greens@leavitt.com
INSURERS AFFORDING COVERAGE
NAIC 0
INSURERA:Cincinnati Insurance Companies
10677
Boise ID 83713
INSURED
INSURER B
INSURERC:
Capital Hill Holdings, LLC
INSURERD:
3330 E. Louise Drive
INSURER E
Suite 300
INSURERF:
Meridian ID 83642
COVERAGES CERTIFICATE NUMBER:24-25 Master 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
TYPE OF INSURANCE
A L
SUER
POLICY NUMBER
POLICY EFF
MWODNYYY)
POLICY EXP
[MMIDROMM
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S 1,000,000
A
CLAIMS -MADE El OCCUR
OA GE
PR MISE E N occurrence)$
500,000
MED EXP (Any we person)
$ 10,000
ZPPOI84082
4/10/2024
4/10/202S
PERSONAL &ADVINJURY
$ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
X O.
POLICY JEa LOC
PRODUCTS-COMPIOPAGG
$ 2,000,000
8roedened IJability, Crnerage
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
A
ANYAUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
Epp0184062
4/10/2024
4/10/2025
BODILY INJURY (Par accident)
$
X
PROPERTY DAMAGE
PerPIE nt
HIRED AUTOS NXAUTOS NON -OWNED
$
$
UMBRELLA LUIB
X
OCCUR
EACH OCCURRENCE
S 1,000,000
AGGREGATE
S 1,000,000
A
EXCESS LIAB
CLAIMS -MADE
QED I I RETENTION S
S
EPP0184082
4/10/2024
4.:10/2025
WORKERS COMPENSATION
PER COST
STATUTE
EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORIPARTNERIEXECUTIVE
E.L. EACH ACCIDENT
$
OFFICERIMEMBER EXCLUDED? El
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addillonal Remarks Schedule, may be atlachad if more space is required)
RE: 5123 & 5217 Aviation Way Caldwell Id $3605
CERTIFICATE HOLDER CANCELLATION
Laustin@cityofcaldwell.org
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Caldwell
4814 E Linden St
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Caldwell, ID 83605
AUTHORIZED REPRESENTATIVE
Ted Rice.-
m 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101)
INS025 po14a1)
The ACORD name and logo are registered marks of ACORD