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HomeMy WebLinkAboutPowered by Nick LLCPOWEBYN-01 ACORO CERTIFICATE OF LIABILITY INSURANCE °A `512025 ti25r2o2s 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 pollcy(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 Ileu of such endorsementtsl. PRODUCER I CNYAPCT Workgroup Key The Hartwell Corporation PHONE IFAX PO Box 400 (AIC, No. Ext): _(A1C, No): Caldwell, ID 83606 E4AAIL ADDRESS: INSURE R(S). AFFORDING COVERAGE INSURER A: Selective Insurance Company of Amer INSURED INSURERS: SIF Idaho -Workers Compensation _ Powered by Nick LLC INSURERC: 13170 Purple Sage Road INSURER D : Caldwell, ID 83607-7933 INSURER E _ INSURER F : _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BE EN 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP ' LIMITS 2NPMIDOl1'1"YY5 tMA0.�a.A'YYI ;i _ _ A . X JCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,0 - CLAIMS -MADE �X OCCUR X i S 2505730 3127/2024 3/2712025 PDMAGE T [EREsT%Ir�e) # 500,0 GEN'L AGGREGATE LIMIT APPLIES PER _ POLICY X jppa D LOC OTHER: A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS Ep X AUTOS ONLY X AUTOS ONNLY S 2505730 A X ~ UMBRELLA LI1S X OCCUR EXCESS LIAR CLAIMS -MADE X S 2605730 DED I RETENTION $ W'w-lRKERSCOMPENSATION ' AND EMPLOYERS' LIABILITY AANFYPROPRIIETBOERRIPARTNERJEXECUTIVE YEN 671$30 {MandataryIn NH) EXCLUDED' u - N / A d Una , describe under I DCRIPTION CIF OPERATIONS MED EXP (Any one person) >; PERSONAL d ADV INJURY $ 1 GENERAL AGGREGATE $ 3 PRODUCTS - COMPIOP AGG , S 3 . (Ea acddenl) $ ,•• 3127/2024 312712025 BODILY INJURY Per persam , S _ BODILY INJURY {Per ac_c_identk i $ Pea�et)AMAGER0dn - I $ EACH OCCURRENCE I 1,000501 312712024 3/27/2025 AGGREGATE ; 1,000,00( 311/2024 3/1/2025 E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE S DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached H more space is required) City of Caldwell PO Box 1179 Caldwell, ID $3606 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) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD