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HomeMy WebLinkAboutO Sun CompanyPATE(MMrDDIYYYY) AC V CERTIFICATE OF LIABILITY INSURANCE 11/04/2024 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 endorsements . PRODUCER ONTACT 262-338-0656 888-588-4439 NAME: Dan Push Insurance Agency, Inc. Rural Mutual Insurance Company wc,_+q._hltl), 262-338-0656 �w ,No): 888-588-4439 E-M135 S 6th Ave ADDRESS: dpush�?p ruralins.com INSURER(S) AFFORDING COVERAGE NAIC 0 West Bend, WI 53095 INSURED 2626130959 O Sun Company, Inc Rick O'Malley 11550 N Wausaukee Rd INSURER C : INSURER D : INSURER E : Rural Mutual Insurance Co COVERAGES CERTIFICATE NUMBER: RFVISInN NIIMRFR- Iflii)N��kh)• 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. INR LTADDLR TYPE OF INSURANCE SU8133 POLICY NUMBER MWDDPOLICY EFF M�DY ExP LIMITS ✓ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE �✓ OCCUR UNE—TAR NTED P PREMISES (Ea occurrence) $ 50,000 CPPG156335 06/0112024 0610112025. VIED EXP ;Any one Person; S 5,000 $ 1,000,000 PERSONAL & ADV. INJURY GEN'L AGGREGATE LIMIT APPLIES PER: POLICY El PRO ✓ JECF ❑ !OC GENERAL AGGREGATE PRODUCTS - COMPIOP AG_G $ 2,000,000 S 2,000,000 OTHER: S AUTOMOBILE LIABILITYY BAPG156323 06/01/2024 06/01/2025 E°acod SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) A ANY AUTO $ OWNED ✓' SCHEDULED AUTOS ONLY AUTOS S BODILY INJURY (Per accident) HIRED NON -OWNED AUTOS ONLY AUTOS ONLY _ $ _ PROPERTY DAMAGE Lev accident a A ✓ UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE CPPG156335 06/01/2024 06/01/2025 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ DIED I ✓ RETENTION S 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERlMEMBEREXCLUDED? © NIA PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) Ifes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT --- S i DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) additional Insured(s) The City of Caldwell, PO BOX 1179 Caldwell ID 83606 RECEIVED BY CALDWELL CITY CLERK NOV 13 2024 r_FRTIFIr:OTF Hnl nFR r-eulr r-I I ATInkl City of Caldwell PO BOX 1179 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Caldwell, ID 83605 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. (208) 455-3115 AUTHORIZED REPRESENTATIVE U 1BBB-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD