HomeMy WebLinkAboutRyan HonvichA� vY CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDNYYY)
03r28/2024
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, suhject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to ihe-certificate holder In lieu of such endorsements .
PRODUCER
Keefan Caron
1250 S Allante Ave
Boise ID 83709
CONTACT keefan Caron
PHONE 20"18-2085 FAX No): 208-375-2180
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INSURERS AFFORDING COVERAGE
NAIC ri
INSURER A: Western Community Insurance Company
39519
INSURED
Ray Honvich
5906 S Schooner PI
Boise ID 83716
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURERF:
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
TYPEOFINSURANCE
ADDL
UBR
POLICYNUMBER
POLiCYEFF
POLICY D1YYY
LIMITS
A
X
COMMERCIALGENERALUAnitrTY
CLALMS-MADE OCCUR
N
N
01-363370-01
03/1=024
03/12/2025
EACH OCCURRENCE
S 500,000
S 100.000
MED EXP one coon
$ 5,000
PERSONAL & ADV INJURY
s 500,000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY JECT F1 LOC
OTHER:
GENERAL AGGREGATE
$ 1,500,000
PRODUCTS - COMPIOP AGO,
$ 1,500,000
S
A
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY PAUTOS ONLY
20a61 SINGLE LIMIT
S
BODILY INJURY (Per persm)
S
BODILY INJURY (Per accklenl)
$
PROPERTY DAMAGE
Per acddenL
$
s
A
UMBRELLALIAB
EXCESS LIAB
OCCUR
CLAMS -MADE
EACH OCCURRENCE
S
AGGREGATE
$
DIED I I RETENTION
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORMARTNERIEXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlonal Remarks Schedule, may he attached It more space is required)
4321 Aviation Way #276
CERTIFICATE HOLDER CAN•CFI I ATION
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.
City of Caldwell
AUTHORIZED REPRESENTATIVE
4814 E. Linden
Caldwell ID 83605
-
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