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ACC>R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDfYYVY)
fa--' 10/24/2024
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(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 NTW Certificate Cantor
Willis Towers Watsonn Midwest, Inc. Inc. PHONE 1-877-945-7378 FAX
1-Be8-467-2376
c/o 26 Century Blvd Arc N
P.O. Sox 305191 ADDRESS; certifJ-CAtOB@WtWCO.COM
Nashville. TN 372305191 USA
INSURED
Wilbert Funeral Services Inc
10965 Granada Tone Suite 300
Overland Park, KS 66211
INSURERS AFFORDING COVERAGE NAIC a
INSURERA: Old Republic Insurance Company 24147
INSURER D :
COVERAGES CFpTIPWATE IUIItUP912- N351338836 12e11lclnlu 4II IaeDea.
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 WOO'
POLICYNUMBER
POLICY i<Fr , POLICY EXP
MM-DDiIfY MWD iVVYY LIMITS
X COMMERCIAL GENERAL LIABILITY
_1/
EACHOCCURRENCE
S
2,000,000
CLAIMS -MADE X OCCUR
PREMIS�ora rb neeL
$
11000,000
A
T
MED EXP (Any one srsen)
$
10,000
Y INWZY 317281 24
11/15/2024-11/15/2025
_PERSONAL 8 ADV INJURY
$
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
g
2, 000, olso
PRO.
X
POLICY JECT ` LOG
PRODUCTS •CO_MPIOPAGG
Y
$
2, 000, p00
$
OTHER-
AUTOMOBILE LIABILITY
COMBINED SIN g
-(Ea ddent,' -
2, 000, 000
X ANY AUTO
BODILY INJURY (Per person) $
A OWNED SCHEDULED MNTB 317280 24
AUTOS ONLY AUTOS
11/15/2024 11/15/2025 BODILY INJURY,; Per a*cidenlF $
HIRED I NON -OWNED
' PROPERTY DAMAGE i $
AUTOS ONLY AUTOS ONLY
IPer_agaidenl) _
UMBRELLA LIAB OCCUR
LL EACHOCCURRENCE
EXCESS LIAA CLAIMS -MADE
AGGREGATE *�
DED _RETENTIONS
S
WORKERS COMPENSATION
CrN
X
AND EMPLOYERS' LIABILITY y, N
.! TACT T
A ANYPROPRIETORPARTNERIEXECUTIVE
No NIA
E,L,EAI EACH ACC40EN7 $
3,000,00
OFFICERMEMBEREXCLUDED? NWC 317278 24
In NH)
11/15/2024 12/15/2025(Mandatory E.L.E.L.OISEASE EA EMPLOYEE $
3,000,000
If ppea, describe under
-
OES�RIPTIC-N OF OPERATIONS below
E.L. DISEASE - POLICY LIMP 5
3,000,000
DESCRIPTION OF OPERATIONS, LOCATIONS I VEHICLES (ACORD 101 Addllional Remarks Schedule, may be etlachad If more space Is rpqufay).�t -3 T
City of Caldwell and Memorial Monuments are, included as Additional Inaureds as rovpocu 4oL6nir6iCLiabi;lity.
NOV 13 2024
I:Efi I II-It;A 1 t M1JLUI_M CAIMCFI 1 ATIr1N
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
AUTHORIZED REPRESENTATIVE
PO Box 1179
Caldwell, ID 83606
W 1Vtft1-2U1b ACURU CUMFUHATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
SA ID. 26612529 BATca: 3673948
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