HomeMy WebLinkAboutLouis Pratt,4coMEN CERTIFICATE OF LIABILITY INSURANCE
DATEiMMroomYY)
02/27/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 rlhts to the'certificate holder in lieu of such endorsement(s).
PRODUCER GA:liv-r I '. T ' ' tCONTACT
NAME: Katherine Vdales
Midtowne Insurance Agency
PHONE (208) 459-9422 FAX (208) 459-9417
AIC No):
ry n
6618 Cleveland Blvd. f� � 3 202'1
ADDRESS: KVidales0acrisure.com
INSURER(S) AFFORDING COVERAGE
NAIC 0
SUlte A
INSURERA: Owners Insurance Company
32700
Caldwell ID 83607
INSURED
INSURER B :
INSURER C :
Lc its Pratt
INSURER D :
868 Meadowbrook Ln
INSURER E :
NULL
1 INSURER F :
Nampa ID 83686-8763
COVERAGES CERTIFICATE NUMBER: CL2422704797 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.
LTR
TYPE OF INSURANCE
INSO
WVD
POLICY NUMBER
MM1DDryYYY
MMIDDryYYY
LIMITS
COMMERCIAL GFNFRAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE ® OCCUR
PREMISES Ea occurrence
$ 300,000
MED EXP (Any one pewon
S 10,000
PERSONAL& ADV INJURY
s 1,000,000
A
57307440
03l1912024
0311WW25
GEN'L AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE
$ 2,000,000
POLICY ❑ JEC 0 LOC
PRODUCTS -COMPIOPAGG
S 2,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea a%de,t
S
BODILY INJURY (Per person)
S
ANY AUTO
OWNED SCTOSHEDULED
AUTOSONLY AU
BODILY INJURY (Per acriaccident)S
PR PERTY DAMAGE
Per accident
S
HIRED NON.OWNED
AUTOS ONLY AUTOS ONLY
a
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
b
HCLAIMS-MADE
AGGREGATE
S
EXCFSSUA6
DED I I RETENTIONS
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
PER OTH-
STATUTE ER
E.L EACH ACCIDENT
S
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
NIA
E.L DISEASE - EA EMPLOYEE
S
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space is required)
5515 AvaiUon Way #1028 Caldwell, ID 83605
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 Linden Street
AUTHORIZED REPRESENTATIVE
Caldwell ID 83605
IAL Vj�(f'&&-
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