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