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Home My WebLink AboutTimberlake Construction LLC (2)ACC]KC7® DATE IMM/DOlVYYY) �,... CERTIFICATE OF LIABILITY INSURANCE F11+16/2D23 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATIVELY 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 cer ill Cate holder in lieu of such endorsement(s). PRODUFEDERATED ER NAME CT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 IAtC.PHONE . E ell: B88-333-4949 i All. Nol: 507-446-4664 OWATONNA, MN 55060 1 EMAIL INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 189.965-7 INSURER B: TIMBERLAKE CONSTRUCT ON LLC — INSURER C: PO BOX 274 INSURER O: WILDER, ID W676-0274 INSURER E! INSURER F: COVERAGES CERTIFICATE NUMBER: 49 REVISION NUMBER- 0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER40D NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH INDICATED. ISSUED TH.S CERTIFICATE MAY BE OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS —IONS SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS AND COND OF INSR TYPE OF INSURANCE ADOL S BR POLICY NUMBER POLICY EFF POLICY EXP LM TS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS•MADEOCCUR DAIEAMAGE TO ELATED PREMISES s1O0,000 MED EXP (Any one pert ) EXCLUDED A N N 9841585 01/01/2D24 "0112025 PERSONAL ADV INJURY _ S1,DOO.000_ CENL AGGREGATE LIMIT APPLIES PER! G NER GREGAT$2,000,000 X POLICY L�(CT ❑ LOC PgODUCTS 6 COMPlOP AGG S2,000,000 OTHER: AUTOMOBILE LIABILITY LE.din S NOLE LIMIT $1,000,000 AOWNED JANYAUTO BODILY NJURY leer Penang AUTOS ONLY AUFI�QULED N N 9841585 01/01/2024 OINIM25 BODILY NJURY IPer ACC Nnlj HETED AVTOS OAUTOS NLY N4NQWNEO ONLY PROPERTY AMAOE 12b[.Acsidwl X UMBRELLA LUUJ X OCCUR EACH OCCURRENCE $2,000,000 A EXCESSLIAB CLAIMS -MADE N N 1850487 01/0112024 D1/D1t2025 AGGREGATE $2,D00,000 LIED I IRETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY rN X PER STATO-E �r HI R ANYPROPRIETORJPARTNERI EXECUTIVE A OFFICERIMEMBEREXCLUDED? NIA N 1810752 01/01/2024 U1O01t7025 E.LEACH ACCIDENT 51,000,000 (MaMaary Ie Nat N vie. descHbe Inder E.L DISEASE EA EMPLOYEE 31,DDD,000 DESCRIPTION OF OPERATIONS bale. El DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101. Additional Remarks Schedule, may be nhdred 1 more Spam a required) CERTIFICATE HOLDER CANCELLATION 189-%5-7 49 0 CITY OF CALDWELL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO BOX 1179 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED CALDWELL, ID 83606-1179 IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE - ® ISM-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2018103) The ACORD name and logo are registered marks of ACORD