HomeMy WebLinkAboutCentral Cove ConstructionA �KLrI� CERTIFICATE OF LIABILITY INSURANCE
FDA'06M103/2024YY,
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 1NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE
CERTIFICATE HOLDER.
IMPORTANT, If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. It
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
FEDERATED MUTUAI INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
NAME CT CLIENT CONTACT CENTER
PHONE FAx
IAIC, No. E.11: NO-333-4949 IAIc, not. 507-44"664
ADDRESS:CLIENTCONTACTCENTER FEDINS.COM
CNVA70NNA, MN 55060
INSURERS AFFORDING COVERAGE _
NAIC K_
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 426-659-9
INSURER B:
CENTRAL COVE CONSTRUCTION, LLC
PO BOX 314
INSURER C:
INSURER D:
WILDER, ID 83676-0314
INSURER E;
INSURER F;
COVERAGES CERTIFICATE NUMBER:2 REVISION NUMBER: 1
THIS IS TO CERT FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED
NOTWITHSTAND NG ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
SSUEO OR MAY PERTAIN. THE INSURANCE AFFORDED BY -HE POLICIES DESCRIBED HERE N 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONO 'IONS OF
SUCH POLICIES. LIM TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF IIISURANCE
POLICY NUMBER
Ifir&&&
amY P
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS•mAm X ]OCCUR
GENL AGGREGATE LIMIT APPLIES PER:
�
X POLICY I�ECT _ LOC
OTHER
Y
N
1861791
05/25/2024
OSI25/2025
EACH OCCURRENCE
$1.000,000
AMAGE TO ENTEO PREMISES
$100000
MEOEXPlAnyonepersen)
EXCLUDED
PERSONAL SADVINJURY
;1,OOD_ 000
000
PRODUCTS & COMPNW AGO
$2,DO0,OOD
r AUTOMOBILELIABILITY
X YAUTO
A OWNEOAU .ONLY CU�t,.EO
IH_"I AUTOS ONLY AUTOSOWNED
Y
N
1861791
05/2512024
05125f2D25
OMBIHEDSINOLE LIMIT
EE as
$1,ODO,000
BODILY INJURY IPer Person]
BODILY INJURY IPer Aede-4
ROPERTY AMAGE
X
A
UMBRELLA LIAB
ExrEssLIAB
X OCCUR
ILLIAm#IAGE
N
N
1861792
05/25/'2024
05/25/2025
EACH OCCURRENCE
$2,000,000
AGGREGATE
$2,000,000
DES RETEHTICN
WORKERS COMPENSATION
AND EMPLOYERS'LUIBILITY YIN
ANY PROPRIETORIPARTHERI EXECUTIVE
A OFFICERIMEMBEREXCLUDEDT
to—Istery In NH?
N ycs, describe older
DEZAWTION OF OPERATIONS We.
NIA
N
1861825
05/25/2024
OS125/2025
X PER STATUTE DTHER
E.L EACH ACCIDENT
$500,000
E.I.DISEASE EA EMPLOYEE
♦�,�,,
o.r,.,,,DOO
E.L DISEASE • POUCY LIMIT
$500,000
DESCRIPTION OF OPERATIONS) LOCATIONS: VEHICLES IACORD 001. A"lioml Remarks SO*We. moy be afleowd 1 mom mace is req,:rrdl
THE CERTIFICATE HDLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY.
THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT
ENDORSEMENT FOR BUSINESS AUTO LIABILITY.
CERTIFICATE HOLDER CANCELLATION
CITY OF CALDWELL
621 CLEVELAND BLVD
CALDWELL, ID 83605-4052
9 1 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 REPRESENTAT VE
® 19N-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016)03) The ACORD name and logo are registered martD: of ACORD
AECEIHrU By
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JUN 0 3 2421