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
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