HomeMy WebLinkAboutRussell HadleyA C-.C)R bID DATE (MMIDONYYY)
IV'CERTIFICATE OF LIABILITY INSURANCE 02/0712024
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(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 ri hta to the certificate holder In lieu of such endorsements .
PRODUCER Or cHAM cr Keeian Caron
PHo"� 208-618-2085 Mir t. 208-375-2180
C- ML
Keefan Caron y N{ 3 2024 ADDRESS:
1250 S Allante Ave INSURER(S) AFFORDING COVERAGE NAIL i
Boise ID 83709 INSURER A: Western Community Insurance Company 39519
INSURED IYRIIAF4 A
Russell Hadley INSURER 0:
187 Lee Way INSURER E :
Donnelly ID 83615 INSURER F :
rnveoer-'CC rCOTIFIrAT'F NIIIIiIVIFR• RFVISIAN NEIMRFR-
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 SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS
X
COMMERCIAL GENERALLIABIIJrrY
EACH OCCURRENCE
S 1,000,000
CLAIMS -MADE FRI OCCUR
IsAGE TO-RENTEO
tEa oocurrsncef�
_ 100.000
MED EXP L% one
$ 5,000
PERSONAL 6 ADV INJURY
A
N
N
8S489502
03/03/2024
03/03/2025
S 1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMPfOPAGG
X POLICYEl jE¢ LOC
t INCLUDEQ
OTHER:
S
AUTOMOBILELIABILRY
COMA BINOINGLELIMIT
(EaANY
$
BODILY INJURY (Per person)
S
AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per stcldent)
$
PROPERTY DAMAGE
r a enl
S
$
UMBRELLALIAB
OCCUR
EACHOCCURRENCE
$
AGGREGATE
$
A
EXCESS LIAR
CLAIMS -MADE
DED R EN t0
$
WORKERS COMPENSATION
AND EMPLOYERB' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECLITIVE
PER
ER
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
S
OFF ICERIMEMB E R EXCL UDED7 ❑
(Mandatory In NH)
N 1 A
E.L. DISEASE - POLICY LIMIT
$
II dasaibe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space is repuirod)
5103 Aviation Way #607
Caldwell Airport
City of Caldwell
4814 E. Linden Road
Caldwell
JtluiL
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 REPRESENTATIVE
ID 83605
5
. All rights reserved.
ACORD 25 (2016103)
The ACORD name and logo are registered marks of ACORD