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Home My WebLink AboutGregory Herzog.a►`o�►2u0 CERTIFICATE OF LIABILITY INSURANCE TE pA05/1912025rrt 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(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 6275 N Linder Rd Ste 120 Meridian, ID 83646 6657 CONTACT NAME: Van Barkus PHONE FAX fAJC. No. Ext 208-898-8848 arc No): 208-898-1339 EMAIL ADDRESS: vbarkus@idfbins.com INSURERS AFFORDING COVERAGE NAICtf INSURERA : Western Community Insurance Company 39519 ID INSURED Gregory L Herzog PO BOX 749 INSURER B : INSURER C Star, ID 83669-0659 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 ADDL SUBR NUMBER POLIPOLICY MMlOCY EFF MWPOLICY Dp EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CSL CLAIMS -MADE I X OCCUR DAMAGE TO RENTEU PREMISES Ea occurrence $100,000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV NJURY $1,000,000 A N N 08-273045-02 05/19/2025 05/19/2028 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 CSL X POLICY I PRO. JECT LOC PRODUCTS - COMP/OP AGG Included OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person; ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident: PROPERTY DAMAGE HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per a.d t UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE _ A EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORMARTNERIEXECUTIVE PER OTH. STATUTE ER E,L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? ❑ NIA E.L DISEASE - EA EMPLOYE (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is mqulred) 4321 Aviation Way; #245 3 20255 CERTIFICATE HOLDER CANCELLATION City Of Caldwell SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 4814 E Linden St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Caldwell, ID 83605-8036 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 9.141) ACORD 25 (2016103) 'D 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD