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CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
1 01/23/2025
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 be endorsed. If SUBROGATIONIS 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 endorsemen s .
PRODUCER
CONTACT NAME:
BRIER GRIEVES AGENCY INC
PHONE (813)876-4166
FAX
(A/C, No):
21211447
3617 HENDERSON BOULEVARD
TAMPA FL 33609
E-MAIL ADDRESS:
EDREss:
INSURER(S) AFFORDING COVERAGE NAICA
INSURER A: Sentinel Insurance Company Ltd.
11000
INSURED
INSURER B : Hartford Fire and Its P&C Affiliates
00914
STREETLOGIC PRO INC DBA SPACK SOLUTIONS
INSURERC:
5301 EDINA INDUSTRIAL BLVD STE 4
MINNEAPOLIS MN 55439-2924
INSURER o :
INSURER E :
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.
INSM
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE �OCCUR
General Liability
X
21 SBA VL5565
04/06/2024
04/06/2025
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED PREMISES (Ea opc ence)
$1,000,000
X
MED EXP (Any one person)
$10,000
PERSONALS ADV INJURY
$1,000,000
GEML AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO" LOC
JECT X
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS-COMPIOP AGG
$2,000,000
AUTOMOBILE LIABILITY
ANY ALTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED NON -OWNED
AUTOS AUTOS
COMBINED SINGLE LIMIT
lEa accident)
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
(Per accident)
UMBRELLA UAB
EXCESS LIAR
OCCUR
CLAIMS-
MADE
EACH OCCURRENCE
AGGREGATE
E
I RETENTION $
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY YIN
PROPRIETORIPARTNERtEXECUTIVE
OFFICERIMEMBEREXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATQN5 below
NIA
21 WEC AXOVR6
04/06/2024
04/06/2025
X
PER
STATUTE
OTH•
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE • POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required)
Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008. attached to this
policy
rFRTIFICATF i4ni nFR rAMCF1 I ATInM
City of Caldwell
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
PO Box 1179
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
CALDWELL ID 83606-1179 ` ,4ii i 2 4 2024
IN POLICY PROVISIONS.
THE
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD