HomeMy WebLinkAboutVaughn & Joanne RuschmanDATE (MmODIYYYY)
JACC31IRDOCERTIFICATE OF PROPERTY INSURANCE 10311812024
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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
PRODUCER NAME CT Joyce Crider
Shauna Mickens State Farm Insurance Agency
StateFarm 5266 W State St Ste 102
A Boise. ID 83702
INSURED
Vaughn & Joanne Ruschman
1135 S Blanca Ave
Boise, ID 838709-1113
u c Ext : 208-853-2250 FpC No
ADDREAft, shauna@shauamickens.com
INSURER(S) AFFORDING COVERAGE
INSURER A : State Farm Fire and Casualty Company
INSURER B :
INSURER C :
INSURER D
INSURER E :
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
NAIC 0
25143
LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, It more space is required)
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
POLICY NUMBER
POLICY EFFECTIVE
DATE (MWDDlYYYY)
POLICY EXPIRATION
DATE (MMIDOlYYYY)
COVERED PROPERTY
LIMITS
A
X
PROPERTY
OF LOSS
DEDUCTIBLES
12-BK-0645-4
0414712027
44/44/2525
X
BUILDING
PERSONAL PROPERTY
BUSINESS INCOME
EXTRA EXPENSE
RENTALVALUE
BLANKET BUILDING
BLANKET PERS PROP
BLANKET BLDG 8 PP
Liability
Medical
$ 383500
CAUSES
X
$ 287625
BASIC
BUILDING
1/296-1917
§
BROAD
§
CONTENTS
1/2%-1917
X
SPECIAL
S
EARTHQUAKE
§
WIND
§
FLOOD
$
F
S 1000000
s 5000
INLAND MARINE
OF LOSS
NAMED PERILS
TYPE OF POLICY
§
CAUSES
$
POLICY NUMBER
§
3
CRIME
TYPE OF POLICY
§
§
3
BOILER & MACHINERY 1
EQUIPMENT BREAKDOWN
$
S
S
S
SPECIAL CONDITIONS I OTHER COVERAGES (ACORD 101, Addltloml Remarks Schedule, may be attached It mom space Is required)
This policy extends coverage to Caldwell Airport Hanger - 4407 Aviation Way #349. Caldwell, ID
r 5;RTIFIr-ATF Nrn r1FR r_ANr`FI I ATInPJ
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Caldwell Airport
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
4814 E Linden
ACCORDANCE WITH THE POLICY PROVISIONS.
Caldwell, ID 83605
AUTHORIZED REPRESENTATIVE
Completed by an authorized State Farm representative. If signature
is required, please contact agent.
01995-2015 ACORD CORPORATION. All rights reserved.
ACORD 24 (2016103) The ACORD name and logo are registered marks of ACORD
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