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SFIFI n
CERTIFICATE OF LIABILITY INSURANCE
DATE 1
611811812025
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
C AJACT
Pik West Insurance Agency, LLC
P.O. Box 2003
PHONE FAX
Arc, No, Ext : Arc, No :
IDwissi
Renton, WA 98056
INSURER(SJ AFFORDING COVERAGE
NAIC 0
INSURER A; Kinsale Insurance Company
INSURED
INSURER B :
INSURER C :
Ryco Hell, LLC
INSURER D :
513 Dishman Place
Caldwell, ID 83605
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVIRION 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
NSR TYPE OF INSURANCE ADDL SUER= POLICY NUMBER POLICY EFF POLICY EXP LIMITS
A X COMMERCIAL GENERAL LIABILITY H RR NC 1,000.0c
its 00cw*1ce,
F i I CLAIMS -MADE �X OCCUR 0100378264-0 611812025 6/18/2026 AGE TO RENTED y 100,OC
I
N'L AGGREGATE LIMIT APPLIES PER,
POLICY PPS LOC
TH R:
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P N V INJLAY ' ;
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PR D T- MP P A 7 S
y
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
SYyNEU
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
f
BODILY INJURY Per paisonj S
BODILY INJURY Per accident
Pfge� dent AMAGE
UMBRELLA LIAR DCCUR I I I EAGH
EXCESS LUIB CLAIMS -MADE
IA-1l Fqr-r�NIIONS
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANY
�PISEZrM M%gW EXCLUDE ECLTIVE ❑ N I A
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If ves_ de=ibe under
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached It more space
ref: Hangar at 513 Dishman Place Caldwell, ID 83605 tWMELL CITY CLERK
JUL 0 7 2025
TE HOLDER
Caldwell Airport
City of Caldwell
4814 E Linden Road
Caldwell, ID 83605
ACORD 25 (2016/03)
TION
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
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