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Home My WebLink AboutCommunity Bible Church of CaldwellA� o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYIfj 06/27/2024 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 CONTACT Toby Hill NAME: y PHONE 503-588-8229 ,,C No : 503-588-9440 James Reed 8 Associates Insurance E-MAIL boamesreeda enc ADDRESS: ty@I .com g y 916 Lancaster Or SE INSURERS AFFORDING COVERAGE NAIC q Salem, OR 97317 INSURER A: Brotherhood Mutual Insurance Company INSURED INSURER B : INSURER C : Community Bible Church of Caldwell INSURER D : 14062 Monterey St INSURER E : Caldwell, ID 83607-9076 INSURER F : 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. INSR LTR OF INSURANCE ADOLTYPE 1= SDBR POLICY NUMBER EFF MWDDNYYY N EXP MMIDDPOLICY YYY LIMITS X COMMERCIALGENERALLIA131LITY EACHOCCURRENCE S 1,000,000 CLAIMS -MADE FRI OCCUR DAMAGE To RENTEU-- PREMISES E. occurrence) S 300,000 MED EXP (Any one person) B 5,000 PERSONAL& ADV INJURY $ 1,000,000 A Y 11M5A0523273 03/17/2024 0307/2025 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY 0 PE Q LOG PRODUCTS-COMPIOP AGG $ 3,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E accident) $ BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLALIAB OCCUR HCLAIMS-MADE EACHOCCURRENCE S AGGREGATE 5 EXCESS LIAR DED RETENTIONS 5 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOPJPARTNEPJEXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBEREXCLUDEDT ❑ N f A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS 1 VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) Coverage for use of facilities for Family Fun Day at Mallard Park for August 7,2024. City of Caldwell is named as additional insured. [:A I L HULUtK 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 lj't� Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD