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HomeMy WebLinkAboutDonald CrockerACOR" CERTIFICATE OF LIABILITY INSURANCE 1111� DATE(MMIDDIYYYY) 1 05/30/2024 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 INSURERS), 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 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 Silver Key Insurance Boise CONTAUT MARK MALMSTROM NAME: PHONE (208)855-9099 FAAIC No: (208)855-9098 10688 W Business Park Lane Boise, ID 83709 E-MAIL ADDRESS: mark@silverkeybolso.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: United Heritage 18939 INSURED DONALD E CROCKER INSURERB: INSURERC: RITA CROCKER INSURER D : 2465 E Trevino Ct INSURER E: Eagle, ID 83616 INSURER F COVERAGES CERTIFICATE NUMBER: 00003918-41949 REVISION NUMBFR: 2 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIODIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR HF-126370-001 05/16/2024 05116/2025 EACH OCCURRENCE S 300,000 DAMAGE TO RENTED PREMISES Ea occurrence S 50,000 MED EXP (Any one person) $ 1,000 PERSONAL & ADV INJURY $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE S 300,000 %( POLICY PRO ❑ JECT LOC PRODUCTS -GOMPIDPAGG S $ OTHER: AUTOMOBILE LIABILITY COMBINED IN LE LIMIT Ea accident S BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Par accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED I I RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? N I A PER H- STATUTE I ER E L EACH ACC DENT $ E L DISEASE - EA EMPLOYE $ (Mandatory In NH) U yyes. describe under DESGRIPTION OF OPERATIONS be. E L DISEASE - POLICY LIMIT $ AECEIvrp 81 �hLl.nwFlr r.rv+-. ., DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) Hanger: 5103 Aviation Way; #627 RIN 9 A 7024 CERTIFICATE HOLDER CANCF!_I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Caldwell Executive Airport THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 4814 E Linden ACCORDANCE WITH THE POLICY PROVISIONS. CIO Airport Manager City Of Caldwell. AUTHORIZED REP sENTATIVE Caldwell, ID 83605 MAM ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by MAM on 05/30/2024 at 10-33AM