HomeMy WebLinkAboutQualitree Inc.ACORH CERTIFICATE OF LIABILITY INSURANCE
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DATEIMWDDNYYYj
12/27/2023
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 HOW to the certificate holder in lieu of such endorsement(s).
PRODUCER
Arthur J. Gallagher Risk Management Services, LLC
PO Box 429
NANT CT
ME: Llllana Cruz Leon
PHONE FAX
-Wr-NQ,..ExU: 801.924-1400 Wc�No):801-924-1441
Eagle ID 83616
AODAess: certrequests@gg.com
INSURERS AFFORDING COVERAGE
NAIC a
INSURER A: Idaho State Insurance Fund
36129
INSURED QUALINC-07
INSURERS:
Qualitree, Inc-
3514 Garrity Blvd.
INSURER C :
INSURER D :
Nampa ID 83687
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER:598697043 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 REOUIREMENT, 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 -- -- - ------ --`blS SpKAP —POLICYEFF POLICYtkP
LTFk TYPE OF INSURANCE NUMBER DIYYYA0MYYYk
LIMITS
—JimPOLICY
COMMERCIAL GENERAL LIABILITY
EACHOCCURRENCE
$
6 I"
_
CLAIMS-MA0111 ❑ OCQUIR
PF�EMISES(EaoeeurrMpjj�
MED EXP ;Any one person
S
PERSONAL 8 A_DV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
S
GENERAL AGGREGATE
POLICY ❑ PRO. ❑
JECT LOC
PRODUCTS - COMP/OP AGO _
S
OTHER,
$
AUTOMOBILE
LIABILITY
COMBINED SINGLELIMIT
i
$
ANY AUTO
BODILY INJURY (Per person)
...
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
S
BODILY INJURY (Per accident)
HIRED NON -OWNED
PROPERTY DAMAGE
S
AUTOS ONLY AUTOSONLY
IPer ecr Ant;
_
S
UMBRELLALIAB OCCUR
OCCURRENCEEACH _
S
S
EXCESS LIAR CLAIMS -MADE
AGGREGATE
DED RETENTION
111+2024 11112025
X
. STATUTE R
A WORKERS COMPENSATION
526844
AND EMPLOYERS' LIABILITY Y 1 N
E.L. EACH ACCIDENT
S 1,000,000
ANYPRQPRIETORIPARTNERtEXECUTIVE
OFFICE RIMEMBEREXCLUDED7 D NIA
(Mandatory In NHi
E.L. DISEASE - EA EMPLOYE
S 1,000,000
II Yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$1 000.000
FiECEWED BY
r
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be atlached i1 more space Is required)
Additional Insured: CITY OF CALDWELL
JAN - 8 2024
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CITY OF CALDWELL
ACCORDANCE WITH THE POLICY PROVISIONS.
411 Blaine Street
PO Box 1179
AUTHORIZED REPRESENTATIVE
Caldwell ID 83606
USA
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD