HomeMy WebLinkAboutSunroc Corp,S U N RC OR-01
FDATE(MMrDDnWY)
4/24/2024
'4coRo CERTIFICATE OF LIABILITY INSURANCE
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 License # 92472
c NracT Katlyn Bigelow
Beehive Insurance Agency Inc
Agency CA License #0582035
arc"N ,Ext: (801) 685$877 grc,No:(801) 685-2899
&MAI . kabigelow@beehiveinsurance.com
4393 South Riverboat Rd #200
Salt Lake City, UT 84123
INSURERS AFFORDING COVERAGE
NAIL N
INSURER A:Old Republic Insurance Company
24147
INSURED
INSURER B :
INSURER C :
Sunroc Corporation
INSURER D :
PO Box 778
Orem, UT 84059-0778
INSURER E
INSURER F :
rOVFRA(;FS rFRTIFIr ATF NI IMRFR• DCVlclnal all IU12=D.
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
I TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXPtDDMYYYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE [X] OCCUR
CONTRACTUAL
MWZY-318149-24
1/1/2024
1/1/2025
rCACH OCCURRENCE
5,000,005
$
DAMAGE TO RENTED
$ 300,000
X
MED EXP An one son
$ 10,000
X
XCU
PERSONAL & ADV INJURY
$ 1,000,000
GEML AGGREGATE LIMIT APPLIES PER
POLICY 1�1 JEL4'C LOC
OTHER.
GENERAL AGGREGATE
S 10,000,000
PRODUCTS - COMPIOP AGG
$ 10,000,000
A
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUUpTOppS1WN1NJEEpp
AUTOS ONLY Al1TO50NLY
MWTB-318150-24
1/112024
1/1/2025
COMBINED SINGLE LIMIT
$ 5,000,000
BODILY INJURY Per personli
$
BODILY INJURY Per accident
$
Perraxdenl AMAGE
$
A
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
MWZX-318151-24
1/1/2024
1/1/2026
EACH OCCURRENCE
$ 5,000,000
X
AGGREGATE
$ 5,000,000
DED I X I RETENTION $ 5,000,000
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORMARTNERIEXECUTIVE Y! N
pFFICERIMEMgER EXCLUDED? �N
(Mandatory in NHI
if yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
MWC-318148-24
111/2024
1/1/2025
X PER UTF OTH
E-L- EACH ACCIDENT
$ 5,000,000
E L DISEASE - EA EMPLOYEE
$ 510001000
E L DISEASE - POLICY LIMIT
5,000,000
DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Addillonal Remarks Schedule, may be a@ached If more space Is required}, WnvcO f9r
3409'1£LL L, lY CI FFiK
APR 1 . 2024
CERTIFICATE HOLDER CANrm I ATInN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City
City of Caldwell Cleveland Blvd
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Caldwell, ID 83605
AUTHORIZED REPRESENTATIVE
Y
ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD