HomeMy WebLinkAboutTiger MonkeyAu CERTIFICATE OF LIABILITY INSURANCE °"0710312024 r'
THIS CERTIFICATE 15 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 he endorsed. It 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
cerfAcate holder In lieu of such endorsement(s).
PRODUCER T Insurance Canopy Program Support
Insurance Canopy. 51;
(844)-520.6993P.O. Box 34833 info®insurancecanopy.com
North Chesterfield VA 23234 INSURERtSI AFFoRtnNo COVERAGE NAIC a
INSURED
INSURER a
rlyerMoAey INSURER C:
1512 Aquarius Cl INSURER D:
Nampa ID 83651 1o..
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT+ HE 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.
ISRITIN TYPE OF INSIRifAIICE POLICY NIaABFJi F161.1CY F LIINTE
GENERAL LIABILITY + EACH OCCURRENCE s 1,000,OD
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A PK810224GLLL152658 osrosrm2a 07pxmWs' }s 1,000.00
[GENER►LAGO�aADvREcueuTEuRv }s 2,000.00,
aElvt AOGREr_iATE LIMB APPLIES PCit PRODUCTS - CAXAPIOP 144 I s 2.000 ,
X POLICY I LOC I ANNAL BNLEE is
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'LIQUOR LIABILETY r r $1,000.000 Occurrence 1$2,000,01}�
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DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES "Wh ACORD API, AedhkAiM RSawke SMeduw E men sps b ngldreal
Certificate holder had been added as additional insured regarding the above mentioned policy per attached
Additional Insured - Designated Person or Organization (CG 20 26, ED. 04 13)
Thr. Lily of ^aldwe'I
P.O. Box 1179
Caldwell, ID 83606
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORGED REPREsENTATNE rl x
ACORD 25 1201401) The ACORD name and logo are registered marks of ACORD
IN502S M14511
fiECFIVcr) By
CALDWELL(,N CLERK