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111.411111IATId:]
ACORO CERTIFICATE OF LIABILITY INSURANCE
D 2121/20 13
1 zrzvzoz3
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 endorsemen s .
PRODUCER
CONTACT Zach Dehne
NAME:
The Hartwell Corporation
PO Box 400
Caldwell, ID 83606'
PHONE FAX
(A)C, No, Ext): (208) 459-1678 (A/C, N01:(208) 454-1114
' zach@thehartwelicorp.com
INSURERS AFFORDING COVERAGE
NAIC A
INSURERA:The Cincinnati Insurance Company
10677
INSURED
INSURER a:SIF Idaho Workers Compensation
36129
INSURER C :
Metro Community Services Inc
INSURER D :
4307 Skyway Street
Caldwell, iD 83605
INSURER E :
INSURER F:
COVFRAGFS CERTIFICATE Nt1MRFR- RFVIStAN NIIMRFR-
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 LTRTYPE
OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXP
DDfyYyYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S 1,000,000
CLAIMS -MADE r OCCUR
ETN0235983
1/1/2024
1/1/2026
DAMAGE TO RENTEDPRFM
SESE.
S 100,000
MED EXP (AnV oneperson)
S 10,000
PERSONAL & ADV INJURY
S 1,000,000
_
GEN'L
X
GENERAL AGGREGATE
S 2,000,000
AGGREGATE LIMIT APP I S PER.
POLICY jE�T LOC
PRODUCTS -COMPlOPAGG
$ 2,000,000
S
OTHER
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
a accidenli
S 1,000,000
BODILY INJURY Per person)S
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY X AUTOS
ETA0235983
111/2024
111/2025
BODILYBOODILY INJURY Per accident
S
X
AUTOS ONLY X A�TO ONL�
PPe�aEasRtlent AMAGE
S
S
A
X
UMBRELLA LIAR
XJ
OCCUR
EACH OCCURRENCE
S 1,000,000
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
ETN0235983
1N12024
11112026
DED RETENTIONS
Aggregate
S 1,000,000
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
gFFFCERIMEBER EXCLUDED?
`Mandatory inMNHj
If es. descripe under
DESCRIPTION OF OPERATIONS below
N I A
78050
111/2024
11112025
STER ORH
ATUTE
E.L. EACH ACCIDENT
1,000,000
5
E.L. DISEASE - EA EMPLOYE
5 1,000,000
E.L. DISEASE - POLICY LIMIT
1,000,000
5
A
Crime
ETN0236983
1/1/2024
1/1/2025
Employee Theft
150,000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom apace is required)
CALDWE�+CED BY
CLERK
DEC 2 12023
City of Caldwell
ATTN Debbie Geyer
PO Box 1179
Caldwell, ID 83605
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD