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HomeMy WebLinkAboutDaniel RuleACORO� DATE (MWOONYYY) `� CERTIFICATE OF LIABILITY INSURANCE 03/14/2024 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, subject to the terns 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 Ileu of such endorsements . PRODUCER RAC Jason Gardner _ Westem Community Insurance Co n D [] 7n�1, UM 4 F 208-401-0132 N¢ , 208-401-0137 APR J 1J PO Box 4848 . Pocatello INSURED Daniel Rule 5103 Aviation Way ID 83205 INSURER A: Western Community Insurance INSURER B INSURER C INSURER D : INSURER E : Caldwell ID 83605 1INSURER F CAVFRAnFS CFRTIFICeTF NIIMRFR- REVISION NIIMRFR- 39519 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 LTRTYPE OF INSURANCE ADDL UDR POLICYNUMBER POLICY EFF POLICY EXP uM� A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR N N 8M166203 04/13/2024 04/13/2025 EACHOCCURRENCE $ 1,000,000 DAMAGE TO RENTE PREMISES LEA occurrence S 100,000 MED Face one n) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 -COMPIOPAGG s INCLUDED -PRODUCTS S A AUTOMONLELIABILRY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea aoddent S BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE Per scolden S s A UMBRELLALUIB EXCESS LIAR OCCUR CLAIMS -MADE EACHOCCURRENCE S AGGREGATE $ DED I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROMEMBEPIPARTUDED?EC�� OFF(Mandatory In NH) if yes deealbe under DESCRIPTION OF OPERATIONS below NIA PER OTH STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be allachad H more space In required) Hanger: 5103 Aviation Way #654 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. 4814 E Linden St AUTHORIZED REPRESENTATIVE? m� Caldwell ID 83605 0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016I03) The ACORD name and logo are registered marks of ACORD