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HomeMy WebLinkAboutMetro Community Service IncMETRCOM-01 111.411111IATId:] 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