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HomeMy WebLinkAboutWestern Core Drilling & SawingACORU' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 03/28/2024 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(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 ondorsement(s). PRODUCER Christensen 8r Associates PO Box 5538 ID 83705 CONTACT NAME: Thomas Elliot PHONE 208-345-6852 we No; 208-384-1612 aDlAIL thomas@bcins-id.com DREBoise, INSURERS AFFORDING COVERAGE NAIC N INSURER A: State National Insurance Company INSURED Arneys Construction and Remodeling LLC DBA Western Core Drilling and Sawing INSURER e : American Hallmark Insurance Company of Texas 4 494 INSURERC: SIF 36129 2204 N Cribbens Street INSURERD: INSURER E: Boise, ID 83713 INSURER F : COVERAGES CERTIFICATE NUMBER: 00017116-2818691 REVISION NHIIl 177 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 CONTRACTOR 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 lyp� OF INSURANCE ADOL im SUBR POLICY NUMBER POLICY EFF IMWDDffYYYI POLICY EXP IMMODDrYYYY),LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ERIOCCUR _ Y HLM51CLO46222514 11110/2023 11/10/2024 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED— PREMISES Ea occu ante — $ 300,000 ME;D EXP (Any one person) $ 5 on PERSONAL & ADV INJURY 1 $ 1,000,000 GEWL AGGREGATE LIMIT APPLIES PER O. POLICY ❑ JEC I I LOC OTHER: GENERAL AGGREGATE $ 2,000,000 X PRODUCTS - CNPIOP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNEDSCHEDULED A AUTOSONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY HLM51CLO46222514 1111012023 11/10/2024 COMBINED Ea accidenntSINGLELIMIT $ 1,000,000 BODILY INJURY (Per person} $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ `+ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIve YIN OFFICERIMEMBER EXCLUDED? yandatory In NH) (M It es, d scribe under DESCRIPTION OF OPERATIONS below N I A 627085 0410112024 0410112025 X SPER TATUTE ERH E L EACH ACCIDENT $ 100,000 E L DISEASE - EA EMPLOYE $ 100,000 E L DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) Additional Insured - City of Caldwell Email: dbishop@cityofcaldwell.org City of Caldwell PO Box 1179 411 Blaine St. Caldwell, ID 83605 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 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by JTE on 03/28t2O24 at 02 58PM