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Home My WebLink AboutCapitol Paving CompanyA�RD� CERTIFICATE OF LIABILITY INSURANCE DArV112g120224 r> 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 B4 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 term and conditions of the policy, certain policies may require an andOrswroant. A statement on this certificate does not coMer rights to the certificate holder In lieu of such Imdorsemerd(s). PRODUCER FEDERATED MU1UAiINSURANCE COMPANY HOME OFFICE, P O. BOX 328 ACT RAMS: CLIENT CONTACT CENTER PHONE No, Exo; 888-3334949 A c, Nal: 507-446.4664 ADDRESS.CL ENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55D60 INSURERS AFFORDONO COVERAPE _ NAIC B INsumra A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 378-894-0 INSURER 0: CAPITAL PAVING COMPANY INC. 2403 S EMPIRE WAY — INSURER C: INSURER 0: BOISE, ID 83709-3206 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER; 1SS REVISION NUM13EW 0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER OD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH S CERTIF CATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUB_ECT TO ALL THE TERMS EXCLUSIONS AND COND TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TIR TYPE OF INSURANCE ADOL S R POLICY NUMBER far6Y EFF PO Y X LIMITS EACH OCCURRENCE $1,000.000 A X COMMERCIAL GENERAL LIABILITY CLAIMS•MADE7X OCCUR N N 1881111 01/01/2024 0+t3112025 AMAGE TO ENTER PREMISES $100 000 MED EXP lAny one penes) S10,000 CENL X AGGREGATE LIMIT APPLIES PER: POLICY I LIECT ❑ Loc OTHER: PERSONAL & ADV INJURY �,000,00D GENER AOGREGATE PRODUCTS S COMPIOP AGO $2,000,000 A AUTOMOBILE LIABILITY X ANYAUTO AWNED AUTOS ONLY AUC�OULED HEiEDAUTOSONLY AUT�OusSOFDY N N 1881111 01/01/2024 01POV4125 OMBINED SINGLE LIMIT Ea amdan S1,000AD BODILY INJURY IPer Persm) BODILY INJURY IPW Aeeiden0 I�PJ1rx DAMAGE PUMBRE'. LA I U B EXCESS X OCCUR Cf.AIMS-MADE N N 1881113 01/01/2024 OlMo D25 EACH OCCURRENCE _ _ AGGREGATE $3,000,000 S3,0W,000 DED I IRETENTICN A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY yI ANY PROPRIETORIPARTNERI EXECUTIVE �OFFICEFUMEMBEREXCLUDED? {MAndotory In NH) It yes, describe trader DESCRIPTION OF OPERATIONS Wow N/A N 1881114 01/OWD24 01/0W.25 X I PER STATUTE THER E'L EACN ACCIDENT f1,000-000 E I DISEASE EA EMPLOYEE S11000.000 E.L DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 Addifiwwl Remarks Schadule, may be of ched if men space it required) SEE ATTACHED PACE CERTIFICATE HOLDER CANCELLATION 37"94-0 THE CITY OF CALDWELL 411 BLAINE ST PO BOX 1179 CALDWELL, ID 83605-3619 155 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHOR ZED REPRESENTATIVE 1988-2015 ACORD CORPORATION Ali rights reserved ACORD 26 (2018)03) The ACORD name and logo are registered manes of ACORD