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HomeMy WebLinkAboutTabor Construction IncACOR7 0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDomrY) 09/13/2022 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 CONTACT NAME: Jason Gardner Jason Gardner PNONE 208-401-0132 FVC No,: 208-401-0137 EMAIL ADDRESS: 525 S Middleton Rd, STE 100 INSURERS AFFORDING COVERAGE NAIC t INSURER A: Western Community Insurance Company 39519 Middleton ID 83644 INSURED INSURERS: INSURERC: Tabor Construction Inc INSURER D : 28277 Country Ln INSURER E : INSURER F Caldwell ID 83607 COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMBS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE I X OCCUR PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) S 5,000 _ PERSONAL d ADV INJURY S 1,000,000 A _ N N 8N607801 02115Q024 02115/2025 GEWL GENERAL AGGREGATE $ 2,000,000 AGGREGAT E LIMIT APPLIES PER-. X POLICY 1 JECT LDC PRODUCTS - GOMPfOP AGG $ no coverage $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $ BODILY INJURY (Per pecan) S ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ A EXCESS LIAe CLAIMS -MADE N N UN607802 02115/2024 02/15/2025 DED I X I RETENTION 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFCEOPRIETOERPARTNE EXECUTIVE ❑ N!A PER OTH- STATUTE I I ER E.LFACHACCIDENT $ (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE S If es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required) In regard to locations: 501 Dauntless PI, Caldwell ID 505 Dauntless PI, Caldwell ID 509 Dauntless PI, Caldwell ID CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. 4814 E Linden St AUTHORIZED REPRESENTATIVE 9�a� �L Caldwell ID 83605 ?74!f 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD