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HomeMy WebLinkAboutThe Odom CorporationAlCC>R�® CERTIFICATE OF LIABILITY INSURANCE BATE IYYYY) 1211912024sno2a 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 MARSH USA, LLC CONTACT NAME' TWO ALLIANCE CENTER PHONE FAX l�(C. No, liEa11, Ar[" C, No): 3560 LENOX ROAD, SUITE 2400 E-MAIL ATLANTA, GA 30326 ADDRESS: Attn: Atlanta.CertRequest@marsh.com / Fax: 212-948-4321 INSURERS AFFORDING COVERAGE NAIC 0 INSURER A : Hardord Fire Insurance Co 19682 CN402988624.Odom-GAWU-24.25 INSURED The Odom Corporation INSURER B : NIACorporation NIA INSURER C : Hpft Underwntersutance Company 30104 Risk Management 11400 SE 8th Street, Suite 300 INSURER D : Hpft Casua4losCo 29424 Bellevue, WA 98004 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: ATL•005945372-01 REVISION NUMBER: 5 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 TYPE OF INSURANCE ADOL SUER POLICYNUMBER POLICY EFF MMIDD POLICY EXP MM(DO/YYYY LIMITS A TmERCtAL GENERAL LIABILITY CLAIMS -MADE X OCCUR _ 20 CSE S56402 (GL No.) and 20 CSE S56405 (Product Recall) Deductible ($100,000) I 03/3112024 113!31 i 2025 EACH OCCURRENCE $ 2.000.000 DAMAGE 0 RENTED - PREMISES Me occurrence $ 1,000,000 MED EXP (Any one person) S PERSONAL a ADV INJURY 5 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE T X� LOC OTHER: GENERAL AGGREGATE S 4,000,000 X PRODUCTS - COMPIOP AGG S 4,000,000 General Aggregate (Per S 10,000,000 A C AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 20 CSE S56403 (AOS) 20 CSE S56404 (HI) SIR $250,000 03131/2024 03/31/2024 03/3112025 03/31/2025 COMBIN Ea acddenlED SINGLE LIMIT S 5,000,000 X BODILY INJURY (Per persona S BODILY INJURY (Per accident) S PROPERTY DAMAGE Per aaadenl S 5 UMBRELLALIAB EXCESS LIAR OCCUR EACH OCCUa>'FgtrN(-F S HCLAIMS-MADE AGGREGATE S DED I I RETENTIONS S A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPFiIETORIPARTNERIEXECUTIVE Y r N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) H yes, describe under DESCRIPTION OF OPERATIONS below N r A 20 WINS56400 AK, HI, ID) ( 20 XWE S56401 (WA) SIR Value:$250,000 () 03/31/2024 03/3112024 03''31I2025 01031/2025 PER OTH- X STATUTE ER E.L EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Caldwell islare included as additional insured (except workers compensation) where required by written rnntrad. JAN 0 3 2024 CERTIFICATE HOLDER CANCELLATION City of Caldwell SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 1179 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Caldwell, ID 83606 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE VA15m,,u" ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD