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HomeMy WebLinkAboutHasten Ground FXRRFTAR0.n4 IFIT7FN '4l64 o CERTIFICATE OF LIABILITY INSURANCE FDATE171202YYYY� 517/2025 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 endorsements . PRODUCER C ACT Deal Insurance 917 2nd Street South Nampa, ID 83651 PHONE FAX Arc, No, Eat): (208) 466-2465 lac, No :(208) 454-1114 ,MA65, thc@thehartwellcorp.corn 1DOR INSURERS AFFORDING COVERAGE NAIC s INSURER A: A uto-Owners Insurance Company 18988 INSURED INSURER a: SIF Idaho Workers Compensation 36129 Bret Boren DBA Hasten Ground FX INSURER C : 4108 E Lanager Court INSURER D : INSURERE: Nampa, ID 83687 INSURER F : COVERAGES CERTIFICATE NIIMRFR- RFVICInN NI Mar-D• 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [�] OCCUR X 57228769 5/4/2025 6/412026 EACH OCCURRENCE $ 1,000,000 DAMAGE TISESO RENTED occumMeel $ 300,000 MED EXP (Any one rson $ 10,000 PERSONAL & ADV INJURY S 1,000,000 GEOL AGGREGATE LIMIT APPLIES PER: POLICY ❑ jra LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS -COMPIOPAGG $ 2,000,006 S A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUOTO-pSYVIJEp AUTOS ONLY AUTOS ONLY 4722876900 10/28/2024 10/2812025 COMBINED SINGLE LIMIT (Ed ACWenl!IX S 1,000,000 BODILY INJURY Per S BODILY INJURY Per aopdenl $ PReOPEe a DAMAGE P $ S A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 5090366700 5/4/2025 5/4/2026 EACH OCCURRENCE S 1,000,000 AGGREGATE 11000,000 DED I X I RETENTIONS 10,000 a B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYUTE ANY PROPRIIETBOERIPARTNERIEXECLITIVE YIN IMFendetOry in �1}{R EXCLUDED? If Yes, describe under DESCRIPTION OF OPERATIONS below N 1 A 653651 5/4/2025 5/4/2026 X PER OTH- E-L EACH ACC DENT 1,D00,000 E.L. bISEASE - EA EMPLOYEE 1,000,000 E.L- DISEASE -POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES iACORD 101, AddlUonal Remartrs Schedule, may be attached H more space Is required) The City of Caldwell is an additional insured per form provided. MAY U 7 2025 City of Caldwell PO Box 1179 Caldwell, ID 83606 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPPRES�ENTAnVE ACORD 25 (2015103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD