HomeMy WebLinkAboutPaul & Denise JanesA� o® CERTIFICATE OF LIABILITY INSURANCE
DATE( 06/2YY 4
08/06/2024
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(les) 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 Ileu of such endorsemen s .
PRODUCER
Farm Insurance Brokerage Company, Inc.
PO Box 484E
Pocatello ID 83205-4848
NAME Heather Nalker
PHONE 208 232-7914 AIC No:
oval hwalker@idfbins.com
ADDRE
WSURE S AFFORDING COVERAGE
NAIL A
INSURER A: Ace American Insurance CO
22667
INSURED
Paul & Denise Janes
INSURERS:
INSURER C :
INSURERD:
5111 Aviation gray
INSURERE:
Caldwell ID 83605
1 INSURERF:
(208) 455-2359
COVERAGES CQ CERTIFICATE NUMBER: Cart ID 6024 (3) REVISION NUMBER:
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.
LT R
TYPE OF INSURANCE
ADDLSUSR
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
CLAIM54AADE OCCUR
DAMAGE TO RENTEIF-
PREMISES Eao=ffence
$
MED EXP (Any one person
$
PERSONAL & ADV INJURY
E
_
GEOL AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
S
PRODUCTS - COMP/OP AGG
S
POLICY EST DLOC
$
OTHER:
AUTOMOB&E LIABILITY
COMBINED SINGLE UMIT$
Ea acddenl
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY 1N iURY (Par accident)
S
PROPERTY DAMAGE
Peraccdenl
S
S
UMBRELLALWB HOCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED RETENTIONS
$
WORKERSCOMPENSATN)N
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNEREXECOTIVE
PER OTH-
T T T ER
E.L. EACH ACCIDENT
$
OFF IC E R!M EM B E R EXCLU D ED? ❑
(Mandatory In NH)
NIA
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
If yes describe under
DESCRIPTION OF OPERATIONS below
A
Property - Commercial
PFYFIOB89662
03/16/2024
03/16/2025Building
S 551,050
BPP
S 100,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schsdule, may be attached N mom space Is required) AEC Efff) BY
Hanger address. 5111 Aviation gray Caldwell ID $3605 . C. LD'NFLL I,i fY CLERK
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Caldwell
PO Box 1179
Caldwell ID 83603
AUTHORIZED REPRESENTATIVE
Gam" u
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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