HomeMy WebLinkAboutConcrete Placing CompanyACORU® CERTIFICATE OF LIABILITY INSURANCE
OATE(MMIDDIYYYY)
12/19/2023
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(les) 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 certificate holder In lieu of such endorsements .
PRODUCER
Higgins & Rutledge Insurance, Inc.
1661 Shoreline Dr., Suite 100
Boise ID 83702
CONTACT
NAME: Rebecca Ruhter
PHONE FAx
208-343-7741 Arc No): 208-343-9371
EADoRLEss: RebeccaR Hi insRutled e.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: The Phoenix Insurance Co
25623
INSURED CONCR-1
Concrete Placing CO Inc
6451 W Gowen Rd
INSURER B : Travelers Property Casualty Co of America
25674
INSURER C : Red Shield Insurance Co
41580
INSURER D :
Boise ID 83709
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER-29763OA77 RFVISInN NiIMRFR•
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.
1POLICY
LTR
TYPE OF INSURANCE
ADDL
5UBR
POLICY NUMBER
EFF
MMfDOIYYYY
POLICY FXP
MMr DDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FXI OCCUR
Y
Y
CO2FS98894PHX24
1/112024
111/2025
EACH OCCURRENCE
$1,000.000
PREMISES Ea occurrence
$ 300.000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$1.000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY F�IJEST LOC
OTHER:
GENERAL AGGREGATE
$ 2.000.000
PRODUCTS - COMP/OP AGG
$2,000,000
$
C
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Y
Y
8102L9792D2232BG
1/1/2024
V1=25
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Peracddenlj
$
PROPERTYDAMAGE
Per accident
S
E
B
X
UMBRELLA LIAR
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
Y
Y
CUPOJ4473902426
1/1/2024
V1+Z0'1D
EACH OCCURRENCE
$10,000,000
AGGREGATE
$10 000,000
DED I X I RETENTION $ In nnn
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPMETORIPARTNEFVEXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
NIA A
PER OTH
STATUTE ER
E.L EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L DISEASE - POLICY L MIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RECEI}J=0 BY
Umbrella is Follow Form over General Liabil' Auto and Workers Compensation policies
RE: 1-84, Centennial IC to Franklin IC - A0231 4.37) CnLp4YELL Go n CLEH1t
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
621 Cleveland Blvd
Caldwell ID 83605 AUTHORIZED REP SENTATNE
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