HomeMy WebLinkAboutIdaho Siteworks LLCACORV CERTIFICATE OF LIABILITY INSURANCE
OnrE (MMroD,YYYYj
03/01/2024
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 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
CONTACT Robin Carter
NAME:
Post Insurance Services, Inc
PHONE (208) 336-5600 F (208) 344-0651
A/CNo Ext : A(C, No):
P.O. Box 893
E-MAIL rearter@postins.com
ADDRESS: �p
INSURERS) AFFORDING COVERAGE
NAIL N
Meridian ID 83680-0893
INSURERA: United Fire Group
13021
INSURED
INSURER 8 :
Idaho S'te Works LLC
INSURER C :
1123 12th Ave Rd #408
INSURER D :
INSURER E :
Nampa ID 83686
INSURER F :
COVERAGES CERTIFICATE NUMBER: 24125 REVISION NUMBER:
THIS 15 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
INSD
WVD
POLICY NUMBER
POLICY EFF
MMIODlYYYY
POLICY EXP
MMIDDIYYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S 1,000,000
CLALMS-MADE N OCCUR
DAMAGE TO RENTEU_
PREMISES Ea occurrence
S 300,000
X
MED EXP (Any one person)
S 10,000
CG7103
X
IL7105
PERSONAL BADVINJURY
S 11000,000
A
60542256
03/03/2024
03/03/2025
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
S 3.000.000
X POLICY X PRO JECT LOC
PRODUCTS -GOMPlOPAGG
S 3,000,000
S
OTHER.
AUTOMOBILE
LIA8IL3TY
COMBINED SINGLE LIMIT
Ea accident
S 1,000,000
X
BODILY INJURY (Per person)
S
ANYAUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
60542256
03/0312024
03103/2025
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
Per accident
S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Ix
X
Underinsured motorist
S 1,000,000
CA7109 CA0449
X
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
S 5,000,000
AGGREGATE
S 5,000.000
A
EXCESS LIAB
CLAIMS -MADE
60542256
03/03/2024
03/03/2025
DED I I RETENTION S
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
S
ANY PROPRIETORIPARTNERIEXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
N I A
E.L- DISEASE - EA EMPLOYEE
S
(Mandatory in NH)
Ir yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE POLICY LIMIT
S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
CALnwELL L:I l ,
Project #2305 Centennial Way Infill
MAR 0
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS.
411 Blaine St
AUTHORIZED REPRESt NTATIVE
Caldwell ID 83605 �4, c
fE)1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD