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HomeMy WebLinkAboutBryan SandersonACORO� DATE (MMIDDIYYYY) `� CERTIFICATE OF LIABILITY INSURANCE 06/04/2024 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 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 lieu of such endorsement($). PRODUCER CONTACT NAME- Lynnae Gliege PHONE FAX !G Noll; 'C. Lynnae Gliege EaYIAIL ADDRESS: 6275 N Linder Rd INSURERS AFFORDING COVERAGE NAIC #f Meridain ID 83646 INSURER A: Farm Bureau Mutual Insurance Company of Idaho 13765 INSURED INSURER B INSURER C Bryan D Sanderson INSURER D Cheryl A Sanderson INSURER E 76 N Longhorn Ave INSURER F Eagle ID 83616 COVERAGES CERTIFICATE NUMBER: 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 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, ILTR TYPE OF INSURANCE ADDL 5UBR POLICY NUMBER MMIDD� MMIOD EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 CLAIMS -MADE �X OCCUR AMA PREMISES Ea occurrence $ MEO EXP (Any one person) S 5,000 Farm Liability X Personal Liability PERSONAL& ADV INJURY $ A N N 01-157478-01 06/13/2024 06/13/2025 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY D PE Q LOC PRODUCTS - COMPIOP AGG S $ OTHER: AUTOMOBILE LIABILITY COMEaaccideBINEDnt SINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLALIAB OCCUR EACHOCCURRENCE S Ll AGGREGATE S A EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y # N PER OTH- STATUTE ER E.L. EACH ACCIDENT S A OANYFF CEOR#MEMBER XCLUDEO7ECUTIVE ❑ NIA E.L. DISEASE - EA EMPLOYEE S (Mandatory In NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS # LOCATIONS # VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 0.LD'INELL t.r lyCl.ERK 5125 Aviation Way Hangar #836 Caldwell ID 83605 ff+ 27 ?? CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Caldwell Airport ACCORDANCE WITH THE POLICY PROVISIONS. 4814 E Linden St Caldwell ID 83605 AUTHORIZED REPRESENTATIVE 01988-201 MOIRD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of