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HomeMy WebLinkAboutPacific Horizon LLCClient#: 8742 PACIFICHOR ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD1Ysro3MIDDNYYY) 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 any rights to the certificate holder in lieu of such endorsement($). PRODUCER Moreton & Company - Idaho P.O. Box 191030 CONTACT NAME: Teresa Peterson Roberts PHONE 208 321-9300 2 a ERl : p1C, No : 0$-321-0101 E-MAIL ADDRESS: tpeterson@moreton.com Boise, ID 83719 208 321-9300 INSURER(II) AFFORDING COVERAGE NAIC p INSURER A: Employers Mutual Casualty Co. 21415 INSURED Pacific Horizon LLC INSURER B Fred Oliver c/o 2120 Lanark St. INSURER C Meridian, ID 83642 INSURER D : 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM1DD LIMITS A X COMMERCIAL GENERAL LIABILITY 6X3364124 6101r2024 06/01/2025 EEACH�OECCTURRENCE $1 000000 CLAIMS -MADE — OCCUR PREMISES EaEocccuErrence 000,000 x MED EXP (Any one person) s5,000 PD Ded: 250 PERSONAL & ADV INJURY $1 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 POLICY ECTT LOC PRODUCTS -COMPIOPAGG $2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea adent BODILY INJURY (Per person) $ ANY AUTO OWNED F SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per aaadenl $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAR EACH OCCURRENCE S HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- TA LITE EIR AND EMPLOYERS' LIABILITY Y I N OFFICERIPROMEM ER EXCLUDED ECUTIVE 7 I N 1 A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Property 6X3364124 6101r2024 06/011202 1,990,000 Buildings 90% Coinsurance 100,000 BPP $500 Deductible 100.000 Business.lnco e DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) BALD CLKRK Property at 519,521 & 605 Dishman, Caldwell, ID. Caldwell Airport Manager City of Caldwell 4814 Linden 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 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2096103) 1 of 1 #S 1959910IM 1959907 The ACORD name and logo are registered marks of ACORD TERPE