HomeMy WebLinkAboutRobins Hose Co. #1 of DoverClient#: 84073
ROBBIHOSE
ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE 0a12s141261IDDIY1r11Y)
2aza
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(les) 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(a),
PRODUCER
Conner Strong & Buckelew
614 North DuPont HighwayLNe
Save
Jill Musgrove
P NFAX
, 302-678-9560 „K No):
ADORE 33. jmusgrove(Mcannerstrong.com
INSURE S AFFORDING COVERAGE
NAILe
Dover,, D DE 14901
INSURER A: Arch Insurance Company
11150
INSURED Robbins Hose Co. 01 Of Dover
INSURER B : Arch Specialty Ina CO
21199
INSURER C
103 S. GovernorsAvenue
INSURERD:
Dover, DE 19901
INSURER E
INSURER F
:ERTIFICATE
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.
LTSRR
TYPE OF INSURANCEADDL
UB
POLICY NUMBER
PIORILIDC E
EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X (X:CUR
X
MEPK09146008
4/01/2024
041011202
'EACHOCCURRENCEs1
000000
% Eaom�r enceI
6100 000
MED EXP (My one person?
$ 5 000
PERSONAL s ADV INJURY
$1 000 000
GEN'L AGGREGATE LIMIT APPLIES PER-
PR
POLICY ❑ JeCOT ❑ Loc
OTHER:
GENERAL AGGREGATE
$1 O 000 000
PRODUCTS-COMPIOP AGG
f10 000 000
I
s
A
AUTOMOBILE
IX
LIABILITY
ANY AUTO
AUTOS ONLY X NEDSCHEDULER
HIR E AUTOS
AUTOS ONLY X NON-0VYNEO
AUTOS ONLY
MEPK09146808
B410112024
0410112025
COM81NEDSINGLELIMIT
EaatideM
1,000,0DO
BODILY INJURY (Per panonl
s
BODILY INJURY (Per soW")
i
PROPERTY DAMAGE
P
s
s
B
X
uMBRELLALIAB
EXCESS LU1B
X
OCCUR
CLNMS-0MDE
MEUM08843308
410112024041011202
EACH OCCURRENCE
$5000000
AGGREGATE
$10 000 000
DED I X RETENTION 0
f
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORlPARTNERIEXECUnVE -' -
OFFICERIMEMBER EXCLUDED?
(himndatory In NM
n yn desulbe under
DESCRIPTION OF OPERATIONS below
NIA
PER TE OTH.
TA TU
E.L. EACH ACCIDENT
s
E.L. DISEASE - EA EMPLOYEE
s
I E.L. DISEASE - POLICY LIMIT
s
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Re rks Schaduls, mar be aaaahad It mem "o In required)
The City of Caldwell in included as Additional Insured if required by written contract,
CFRTIFICATF HOLnFR reMrcl I ATInu
The City of Caldwell
PO BOX 1179
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WrTH THE POLICY PROVISIONS.
Caldwell, ID 83606
AUTHORIZED REPRESENTATIVE
W. %11e "4/ �ulA4
to 1988-2015 ACORD CORPORATION, All rights reserved.
ACORD 25 (2016103) 1 of 1 The ACORO name and logo are registered marks of ACORD
#546232311NI4575539 J7M