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`� CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDNYM
0611712024
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 endorsements).
PRODUCER
CONTACT Keefan Caron
NAME:
PHONE 208-618-2085 FA.`t No
Western Community Insurance Company
E-MAIL
ADDRESS: caronG kidfbins.com
INSURERS AFFORDING COVERAGE
NAIC 0
PO Box 4848
INSURER A: Western Community Insurance Company
39519
Pocatello ID 83716
INSURED
INSURER B
INSURER C :
Rich Chaney
INSURER 0 :
INSURER E :
5165 Canary Lane
INSURER F :
Nampa ID 83687
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 TYPE OF INSURANCE ADDL SUBR P$LICI' EFF f POLICY EXP
POLICY NUMBER 9XIII10libLIMITS
X. COMMERCIALGENERALLIABtUITY
EACH OCCURRENCE
$ 1.000,000
• _ CLAIMS -MADE OCCUR
IPREMI SEESjEa occurrence)
$1.000,000
VIED EXP (Any one person)
s 5,000
A
N
08-321655-04
04/19/2024 04/19/2025
$ 1.000,000
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
I
$ 2,000,000
GENERAL AGGREGATE
X POLICY JECOT- LOC
PRODUCTS - COMPIOP AGG
$ 2,000,000
OTHER:
s
AUTOMOBILE LIABILITY
r COMBINED SINGLE LIMIT
Ea accidentl
$
Is
ANY AUTO
BODILY INJURY (Per person)
A
# OWNED SCHEDULED
BODILY INJURY (Per accident)f
$
# AUTOS ONLY AUTOS
_
--
HIRED NON -OWNED
PROPERTY DAMAGE
# AUTOS ONLY AUTOS ONLY
lPyr WAPnU
is .
UMBRELLA LIAB OCCUR
EACHOCCURRENCE $
A EXCESS UAB CLAIMS -MADE
AGGREGATE $
ED I R TENTION $
$
WORKERS COMPENSATION
ORH-
AND EMPLOYERS' LIABILITY Y 1 N
�TATLTE +
• '
ANYPROPRIETORIPARTNERIEXECUTIVE
�,N1A
E.L. EACH ACCIDENT $
F--
OFFICERIMEMBEREXCLUDEO?
In NH)
(Mandatory
F E.L. DISEASE - EA EMPLOYEE $
'
If yes, describe under
DESCRIPTION OF OPERATIONS belgw
• E.L. DISEASE - POLICY LIMIT S
i
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, AddWonal Remarks Schedule, may be attached if more space Is required);AU)'fic l f i )y CI €RP
4321 Aviation Way #263
�
Cadlwell, ID 83605 2924
L
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Caldwe)! Airport City of Caldwell
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORV ED REPRESENTATIVE
E Linden Road
Caldwell
Caldwell ID 83605
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ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD