HomeMy WebLinkAboutPEMB Construction Inc (2)PEMBCON-01 SHER
,4corro- CERTIFICATE OF LIABILITY INSURANCE FDA-rE.IMMRIDIYYYY)
/812024
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 endorsement(s).
PRODUCER License # 121437 cppNTACT Sarah Herman
tIPjME:
Associated Insurance Services PHONE FAX
PO Box 16410 IArc, No. Ext)_(208) 955-8182 (AIc, No):(208) 336-1137
Boise, ID 83715 EMAIL sarahh associated ins.com
AC
INSURERM AFFORDING COVERAGE NAIC 0
iNsuRERA:Em oloygrs Mutual Casualty Co 21415
INSURED INSURER B : Travelers 19038
PEMB Construction, Inc. INSURERC:
4905 W View PI INSURER D :
Meridian, ID 83642 - —"— -
INSURER E
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.
[NSR LTR TYPE OF INSURANCE AODLINSD CMD I POLICY NUMBER POLICY EFF , POLICY EXP LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _3L 1,000,000
+ DAMAGE TO RENTED ro
300,000
CLAIMS -MADE ❑X occuR AD87999 2/9/2024 2/9/2025 PREMISES R o TED } , S
MED EXP;Any oneporson) _ �J 5,000
PERSONAL & ADV INJURY. 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER 2LNERAL AGGREGATE 2,000,000
r, POLICY F PR F LOC PRODUCTS - COMPIOP AGG S ___ 2,DOO,O00
A
AUTOMOBILE LIABILITY
I
COMBINE[) SINGLE LIMIT — $
1,00
ANY AUTO
AE87999
2/9/2024 219/2025
BODILYINJURY{Perperson) S
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY {Per accident. S
HIRED NON-OWNEp
X X
PROPERTY DAMAGE
_
AUTOS ONLY AUTOS ONLY
,Per atJdent; $
L
EACH OCCURRENCE 5
2,00
A X UMBRELLA UAB X OCCUR
n EXCESS LIAB CLAIMS -MADE
I
4Y87999
219/2024 2/9/2025
AGGREGATE r ;
2,00
DED X RETENTIONS 10,000
s
X PER HAND SLATiI"k ER
B WORKERS
RLOYERS COMPENSATION
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
N ! A
UB-6R291687
$1'i12fl23 311/2024
E.L. EACH ACCIDENT S
1,QQ
---
OFFtCEiJ.dEMB[R EXCLUDED?
in NH)
.1_
(Mandatory
E.L. DISEASE - EA EMPLOYEE $__
�'00
It yyes, describe under
.DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT 1 E
1 00
'
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks schedule, may be attached N more space is required)
f`CRTICI('ATF Flnl r1FR
f AAIPCI 1 ATIn AI
h1co BY
FEET i t )Q?n
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Caldwell
ty
411 Blaine St
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Caldwell, ID 83605
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD