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Home My WebLink AboutStaples, Inc.ACOROa DATE (MWDDIYYYY) `� CERTIFICATE OF LIABILITY INSURANCE 6?1?2025 1?22/2025 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 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 Lockton Companies, LLC 1 185 Avenue of the Americas, Ste. 2010 New York NY 10036 (646)572-7300 CONTACT NAME: PHONE FAX AfC No EMALI ADDRESS. INSURERS AFFORDING COVERAGE NAIC it INSURER A: ACE American Insurance Company 22667 INSURED Staples Inc. 1492159 Attn: Risk Management INSURERS: IndemnityInsurance Co of North America 43575 INSURER c: ACE Fire Underwriters Insurance Company 20702 INSURER D: Travelers Property Casualty Company of America 25674 500 Staples Drive Framingham MA 01702 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 701115SR7 REVISION NUMBER- yyyyyyy 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 LTRAwkima TYPE OF INSURANCE ADDL BR POLICY NUMBER MMNDI YYLICY MM1DD POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L^ I OCCUR SIR $25,000 Y Y XSL G47357949 2' I; 2024 6.1 '2025 EACH OCCURRENCE S 1975 000 DAMAGE TO RENTED PREMISES tEa-rrence S 975 000 X MED EXP (Any one person) $ XXXXXXX X Contractual Liab PERSONAL & ADV INJURY s 1,975,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY jE a LOC OTHER! GENERAL AGGREGATE S 20,000,000 PRODUCTS - COMP/OP AGG S 4,000,000 $ A AUTOMOBILEUABIL17Y X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY y y ISAH10770269 2.'1'2024 6.:1'2025 accdent COM SLINGLELIMIT Ea $ 5 000 000 BODILY INJURY (Per person) S XXXXXXX BODILY INJURY (Per acadenp $ XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX SXXXXXXX D X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE Y N CLIP-3W382462-24-NF 2;'1?2024 61112025 EACH OCCURRENCE S 10,000,000 AGGREGATE S 10,000,000 DED X RETENTIONS 10,000 $ XXXXXXX B C WORKERS COMPENSATION EMPLOYERS' LIABILITY Y ! N ANY PROPRIETOP4PARTNEPJEXECUTNE ❑ OFFICEWMEMBEREXCLUE N (Myandatory In NH) If under DESCRIPTIION OF OPERATIONS below N 1 A Y WLR C72609074 (ADS) SCF C726091 16 (WI) 2r 1?2025 2.'1+2025 6? P202$ 6+l'2025 PER X STATUTE STUTE ER E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1000 000 E.L. DISEASE - POLICY LIMIT S 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If morn space Is required) City of Caldwell are included as an additional Insured in accordance with the policy provisions of the General Liability, Automobile Liability and Umbrella Liability pohncs. Gcncml Liability and Automobile Liability insurance evidenced herein are Primary and Non-contributory to other insurance maintained by Additional Insured. Waiver of Subrogatton is granted in accordance with policy provisions of the Geticml Liability, Automobile Liability and Workers' Compensation politics as permitted by law. CERTIFICATE HOLDER CANCELLATION See Attachment BAN 2 2024 THEULD EXANY OFPIRATIONHDATEyTHEREOF. ENOTICE I WILL ES CBECDELIVERED BEFOREELLED RIN 87 / CityBE City of of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. PO.Box Ill ?9 AUTHORkZEDREP iiiA Caldwell ID 83606 .& ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. `All rights reserved. The ACORD name and logo are registered marks of ACORD