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HomeMy WebLinkAboutNthan PickensPICKENNA01 ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 3/7/2024 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 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 endorsements . PRODUCER nLQ`i ii nAF.I,L I„ f i-Ltni C CT The Hartwell Corporation PO Box 400 Caldwell, ID 83608 Y PONE _FA) kC Na Ext : (208 459-1678 Arc No :(208) 454-1114 jinksr.thc@thehartwelicorp.com INS RER S AFFORDING COVERAGE NAIC N INSURER A: Ohio Security Ins CO 24082 INSURED INSURER B : INSURER C : Nathan Pickens INSURER D : 2112 Arlington Avenue Caldwell, ID 83605 INSURER E INSURER F: 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 TYPE OF INSURANCE AOOL SUER POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_x] OCCUR BKS63027258 3/31/2024 3/31/2025 EACH OCCURRENCE S 1,000,000 DAMAGE TSESO RfE,ENTED 1,000,000 MED EXP (Any one more 15,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICYEl JECT LOC OTHER: GENERALAG RE TE 2,000,000 PRODUCTS - COMPIOP AGG 2,000,000 s AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUrO� ONLY COMBINED SINGLE LIMIT $ BODILY INJURY Per S BOODILY INJURY Per accident BODILY S PaOr PacEclRdent AMAGE s UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED I RETENTIONS WORKERS COMPENSATION ANDEMPLOYERS'UABIUTY YIN ANY CPROPRIIETBOERRIPARTNER/EXECUTIVE {MFandetory in NHj EXCLUDED? If es, describe under DESCRIPTION OF OPERATIONS below N 1 A OTH- ELITE E.L. EA H A IDENT E.L. DI E- EAEMPL YE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Sch*dul*, may be attached If more space is required) In regards to - 4321 Aviation Way #290 Caldwell, ID 83605 City of Caldwell 4814 E Linden Street Caldwell, ID 83606 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 ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD