HomeMy WebLinkAboutThe Barn CompanyAC40Rv® CERTIFICATE OF LIABILITY INSURANCE
16-�06M412024
FDATE (bIMlODIYYYYI
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES HOT 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(LS), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: if the Certificate holder Is an ADDITIONAL INSURED, the policy(iss) 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 endorsement e .
PRODUCER
WAYNE HUNGATE AGENCY INC
P.O. BOX 1197
HOMEDALE
ID 83628
WAYNE HUNGATE
PHONE 208-337-4041 FAx Ne. 208-337-4042
E*ul whungate@Wfbins.oDm
ENSURER AFFORDING COVERAGE
NMCI
WSURERA: Westem Community Insurance Company
39519
INSURED
THE BARN COMPANY
6111 HOGG RD
MARSING
ID 83639
INSURER a :
wsuRERC:
INSURER D :
INSURER E :
INSURERF:
r_nVFRAIiFS r_PlrrrarCeTF NIIIIJ4RFR- RE1ASION 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.
LLTR
TR
TYPEOFtNSURANCE
ADDL
E
POLICY NUMBER
POI
DDN
XP
MORM
LIMITS
A
X
COMMERCIALGENERALLU1 UI Y
CLAIMS -MADE a OCCUR
Y
N
8VSD4101
0611&2024
06/1512025
EACH OCCURRENCE
S 1,000.ODO
S 1001000
MED EXP one
S 5.000
PERSONALdADVINJURY
S 1.000,000
GENLAGGREGATELIMITAPPLIESPER:
X POLICY JPE�CT 0 LOC
OTHER:
GENERAL AGGREGATE
S 2,00D.000
PRODUCTS. COMPIOPAGG
S 2.000.000
5
A
AUTOMOBILE LIABILMY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON4DWNEO
AUTOS ONLY AUTOSONLY
IN NGL LI 1
$
BODILY INJURY (Per person)
5
BODILY INJURY (Par acddent)
S
PROPERTYUAMAGE
P
S
S
A
UMBRELLA L1AB
EXCESS LING
HCLAEMS-MADE
OCCUR
EACH OCCURRENCE
S
AGGREGATE
$
BED RETENTION
S
WORICERSCOMPENSATION
AND EMPLOYERS' LIABLITY
ANYPROPRIETORIPARTNERIEXECUTIVE YIN
OFFICEREMEMSER EXCL UDED7
(Mandatory In NH)
Ryyeess,, dewft WWar
DESCRIPTION OF OPERATIONS below
NIA
ER
E.L. EACH ACCIDENT
$
E.L. DISEASE- EA EMPLOYEE
5
E.L. DISEASE - POLICY LIMIT
S
-T
DESCRIPTION OF OPERATIONS! LOCATIONS) VEHICLES (ACORD 101. Additional Remarks Schedule, maybe altedrod If more space Is required) I}WFI 1. I , jY Ci_ 1`4
it" 1 1 2024
CFRTIFICATE 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.
P.O. BOX 1179
AUTHORIIZElO REPRESENTATNE�,
CALDWELL
ID 83608
01988.2016 ACQK CORPORATION. AIT rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD