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CERTIFICATE OF LIABILITY INSURANCE
DATE IMM1DD1YYYY)
04/19/2024
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 endorsement(s).
PRODUCER
Allegis Casualty
16132 N High Desert St., Ste 120
g
NAMPA, ID 83687
CONTNAME: Mary Heskett
PH°NE 208)475-1920 {rAX
AlC,NO}:
E-MAIL
ADDRESS: mary.heskett@allegiscasualty.com
INSURERS AFFORDING COVERAGE NAIC 0
INSURER A : Auto Owners
32700
INSURED
INSURERS: Auto Owners
18988
INSURERC: Idahoe Insurance -Fund-
3612
ROCKY MOUNTAIN SERVICES
116 N BROADMORE WAY
INSURER 0:
NAMPA, ID 83687
INSURERE:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 95962954-983403 REVISION NUMBER: 68
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,
INSR
LTR
rypE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MMIDDIYYY
POLICY EXP
MMfDD
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
57358963
0410112024
04/0112025
EACH OCCURRENCE
$ 11000,000
X OCCUR
E T RENTED
DAMACLAIMS-MADE PREMISES
PREMI E Ea occurrence
$ 300000
MED EXP (Any one say
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GERL AGGREGATE LIMIT APPLIES PER.
GENERAL AGGREGATE
$ 2,000,000
X POLICY F� JECT LOG
PRODUCTS - COMPIOP AGG
$ 2,000,000
$
OTHER
B
AUTOMOBILE LIABILITY
5281725500
OW0812024
0510812025
CFOaMB,IrN�EDISINGLE LIMIT
$ 1 000 000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTYDAMAGE
Per a ent
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
B
X
UMBRELLA LIAB
X OCCUR
5281725500
0510812024
0510812025
EACH OCCURRENCE
5 000 000
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
`+
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNEEXECUTIVE Y 1 N
RI
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
N I A
Y
670506
10/0112023
1010112024
X PTAT TE ERH
E.L. EACH ACCIDENT
$, 1,000,000
E.L. DISEASE - EA EMPLOYEE
8 1,000,000
II yes, describe under
DESCRIPTION OF OPERATIONS belaw
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
A
Inland Marine
57358963
04/0112023
04/01/2024
89,000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space Is required)
Completed Operations with Primary Non -Contributory wording as respects General Liability. riavi iWt YUcI i;
IICaf a ►i 11210T 11 ;V ilal R a1 a► aJ_I � La1 R 11 a1_11 Lai►
City of Caldwell
PO Box 1179
CALDWELL, ID 83606
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
151988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and loqo are reqistered marks of ACORD Printed by MLH on 04119/2024 at 10:15AM