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HomeMy WebLinkAboutGary IsaacsACOR 7 a �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYYj 0312812024 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condltlons 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 endorsements . PRODUCER NOINT,' CT keefan Caron PHONE 208-618-2085 FAXfAfc, 2O&-375-2180 INC. Me. Rufl!Keefan Caron E4WL DRE S: INSURERS AFFORDING COVERAGE NAIL tl 1250 S Allante Ave INSURERA: Western Community Insurance Company 39519 Boise ID 83709 INSURED INSURER B : INSURER C : INSURER D : Gary Isaacs INSURER E : 6226 W Braveheart St 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, INSR LTR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ED OCCUR N N BV313601 03112r2024 03/12r2025 EACHOCCURRENCE $ 1,000,000 PREMISES Ma occurrence $ 100,000 MEP EXP (Any oneperson) $ 5,000 PERSONALSADVINJURY S 1,000.000 GENL AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- JECT � LOC OTHER: GENERAL AGGREGATE $ 2.000,000 PRODUCTS - COMPIOP AGG s 2,000.000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COIa61 QED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per aoddent) $ PROPERTY DAMAGE Per ecdtleot $ $ A UMBRELLALIAa EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S DED I I RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILRY YIN ANYPROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS belaw NIA PER OTH- STAT R E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mane space Is required) 5515 Aviation Way #922 CERTIFICATE HOLDER CANrFI I ATICIN 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. City of Caldwell AUTHORIZED REPRESENTATIVE 4814 E. Linden Caldwell ID 83605 - rJ ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD