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�® CERTIFICATE OF LIABILITY INSURANCE
_ 04/07/2025
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 pollcy(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 endorsement(s).
PRODUCER NAME: CONTACT Keefan Caron
Keefan Caron PHONE whip, 2pg 618-2085 �,� Not,
1250 S Allanle Ave A CRESS: _
Boise, Id. 83709 INSURERS AFFORDING COVERAGE NAIL II _
INSURER A : Western Community Insurance Company _ 39519
INSURED msuoco n
Jim Henson
Wi d Horse 340, LLC
5346 W Founders Dr
INSURER E :
Eagle Id 83616 INSURERF:
r0VFRACFS CFRTIFICATE NUMBER: REVISION NtIMRFR:
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
OF INSURANCE
L
ADDTYPE
SUOR
POLICY NUMBER
MM.IIDg_ OLICY EFF
MPMMIYLICY YY
YYY
LIMITS
A
X
COIIIMERCIALGENERALLIABILIIY
CLAIMS -MADE FSK OCCUR
N
N
08A82844-01
04/3012025
04/30/2026
EACH OCCURRENCE
$ 1,000,000
$ 100,000 _
S 5000
PREMISES Es accunen0al
MED EXP (Any one person)
PERSONAL d ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
X POLICY ❑ JECT LOC
OTHER.
GENERAL AGGREGATE
S 2,000,000
PRODUCTS -COMPIOP AGG
3 included
S
A
AUTOMOBILE
UABLFTY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ea aedee
$
$
BODILY INJURY (Per person)
BODILY INJURY Peraccidenl
{ )
PROPERTY DAMAGE
Per accident
$
$
S
A
UMBRELLALIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
S
$
AGGREGATE
DIED I I RETENTION$
WORKERSCOMPENSAnON
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMSEREXCLUDED? ❑
(Mandatory in NH)
Dyyees, describeunder
DESCRIPTIONN below OF OPERATIONS trek
NIA
PER OTH•
T LITEFji
_
$
3
S
E.L. EACH ACCIDENT
E.L. DISEASE • EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space Is requtred)
5515 Aviation way #911 Caldwell, id. 83605
APR 2 2 2025
v ten, n •,..r„ nvw�n 4iRIVliCLLR I IVIY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Caldwell Airport ACCORDANCE WITH THE POLICY PROVISIONS.
4814 E Linden St
AUTHORIZED REPRESENTATIVE
Caldwell, Id. 83605
W TVttti-dUT5 ACORD CORPORATION. All rights reserved.
ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD