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Home My WebLink AboutPEMB Construction IncPEMBCON-01 SHERM ACORo' DATE 001YYYY) CERTIFICATE OF LIABILITY INSURANCE 1211 22a12n2d 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 CONTA NAME:CT Sarah Herman Associated Insurance Services PHONE PO Box 16410 (A/C, No, Ext): (208) 955-8182 I (AFAxC. Ne):(208) 336-1137 Boise, ID 83715 E-MAIL sarahh@associatedins.com INSURED PEMB Construction, Inc. 4905 W View PI Meridian, ID 83642 INSURER D : Employers Mutual COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 19038 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 JIIINSD ADDLISUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r X] OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X jEeT LOC OTHER: I aDs7999 219/2024 219/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PRFMIS 1 MED EX P Any oneperson) 300,000 $ $ 5,000 $ 1,000,000 PERSONAL & ADV INJURY GENERAL AGGREGATE $ 2,000,000 $ 2,000,000 $ PRODUCTS-COMPIOPAGG A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X AUTO ONLY I 4EB7999 219/2024 2/912025 4Y87999 21912024 219/2025 COMBINED SINGLE LIMIT tEa.SccidgM) BODILY INJURY Per erson $ 1,000,000 5 $ $ BODILY INJURY Per accident X Perr PROPERTYDAMAGE $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EACH OCCURRENCE $ 2,000,000 $, 2,000,000 AGGREGATE DEb I X I RETENTION $ 10,000 $ B ANDEPLESIBTION LIABILITY YIN PROPRIETORIPARTNER/EXECUTIVE OFFIC£IZMEMBER £XCLUDED1 (Mandatory In NH) If es.d'scribeunder DESCRIPTION OF OPERATIONS below LA X HMOYR UB-6R291687 3/1/2024 3/112025 aTATUI ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT 1,000,000ANY $ $ 1,000,000 $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) AECEwf) By (kALMWELL 1:; f CLEBi CERTIFICATE HOLDER City of Caldwell 411 Blaine St Caldwell, ID 83605 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