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HomeMy WebLinkAboutPool CorporationACOR�0 CERTIFICATE OF LIABILITY INSURANCE DATE (MWt)DIYYYY) AC� 05/30/2024 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 CONTACT Linda Crocker NAMEPHONE McGriff Insurance Services, LLC 3400 Overton Park Drive SEINC,No 404 497.7500 FAX Suite AIL ADDRE SS: Linda.Crocker@mcgriff.com Atlanta, a, GA 30339 INSURERS AFFORDING COVERAGE NAIC # INSURER A:Llberty Mutual Fire Insurance Company 2303S INSURED Pool Corporation and its subsidiaries iNsuRER s:LM insurance Corporation 33600 INSURER C :Ironshore Specialty Insurance Company 25445 109 Northpark Boulevard Suite 400 Covington, LA 70433 INSURER D INSURER E INSURER F GUVEKA6t:5 CERTIFICATE NUMBER:FMF9GMDT 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. ITR TYPE OF INSURANCE INSD WVO SUER POLICY NUMBER sk°vD6lYrcyvirr MMIDDmYY LIMITS C X COMMERCIAL GENERAL LIABILITY IEPI S4KS002 06/01/2024 06/01/2025 EACH OCCURRENCE S 1,000.000 CLAIMS -MADE 7 OCCUR PREMISES Me occurrence S 1,000,000 MED EXP (Anyone person) S 25,000 PERSONAL d AOV INJURY S 1,000.000 X GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000.000 X POLICY JE T LOC PRODUCTS-COMPfOP AGG S 2,000,000 S OTHER: 06101/2024 06/0112025 A AUTOMOBILE LIABILITY A32651294626034 COMBINED SINGLE LIMIT Ea accident) S 5,000.000 BODILY INJURY (Per person) S X ANY AUTO X OWNED SCHEDUOSLED AUTOS ONLY AS BODILY INJURY (Per accident) S X HIRED HNON-OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident S S C X UMBRELLA LIAR X OCCUR IEELCASCS4KQ002 06/01/2024 06/01/2025 EACH OCCURRENCE $ 10,000.000 AGGREGATE $ 10,000.000 EXCESS LIAB CLAIMS -MADE DED RETENTIONS S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEPJEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA WA565D294626014 C56SD294626024 (MN Only) 06/01/2024 06/01/2025 X PER orH- E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 It yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 S s 5 _ _ 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, maybe attached if more space is required) [tAl OWE L t , V OF ry rl Fp}r J U N 'I S 202.4 null-ur-rc City of Caldwell P.O. Box 1179 Caldwell, ID 83606 LLAI IUIY 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 Pace 1 of, c01988-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD