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Home My WebLink AboutWilliam Wilkerson,acoR>v� CERTIFICATE OF LIABILITY INSURANCE DATE ,MMIDDIYYYY) 1 / 15/2Q24 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 13Y 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 poltcy(tes) must be endorsed. If SUBROGATION IS WAIVED, sab)ect 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(s). PRODUCER Western Community Ins Co PO Box 4848 Pocatello, ID 83205-4848 CONTACT GARDNER JASON B .NAME• PHONE 20$-4Q 1—Q 1 2 arc Nei: 208 232 3508 E-MAIL DD Ess• INSURERtSI AFFOROIN° COVERAGE NAIO # INSURER A : Westem Community Ins Co 39519 INSURED t t l IIIIItnljttlllultElrinllltlnitltltlrtllllltnlh WILKERSON WILLIAM L 499 MEADOW CT MIDDLETON ID 83644 INSURER B : - INSURERC: INSURERD: INSURERE: INSURER F' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: AF0670 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 I TYPE OF INSURANCE ADDL SUBRJ 'Ii6LIP LIMITS POLICY NUMBER POQt YEYYY C EX WIM ym GENERAL LIABILITY EACH OCCURRENCE f 1,000,000 PREMISES oxunence $ 100,000 )( I COMMERCIAL GENERAL LIABILITY 10LAIM5•MADE 7 OCCUR MEDEXP Any one Parana) f 151000 PERSONAL & ADV INJURY t 1,000,000 A N N 8E578201 2/10/24 2/10/25 GENERA. AGGREGATE f 2,000, OQO GIRL AGGREGATE LIMIT APPLIES PER PRODUCTS•COMPIOPAGG S INCLUDED g POLICY PRO- LOC AUTOMOBILE LIABILnY e accident) S BODILY INJURY (Per person) S ANY AUTO BODILY INJURY (Per accident) S ALL OWNED SCHEDULED AUTOS AUTOS NON•OVINED HIREDAUTOS AUTOS PROPERTY DAMAGE Pareccldan S f UMBRELLA LIAR HOiCCLIR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR CLAIMS -MADE DED I i RETENTIONS f WORKERS COMPENSATION V,C STATU- OTH- ANDEMPLOYERS'LIABILTTY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICEMMEMBER EXCLUDED? ❑NIA (Mandatory in NH) E.L. DISEASE • EA EMPLOYEE S E.L. DISEASE • POLICY LIMIT $ If under descrbe DESCRIPTION OF OPERATIONS helow DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additlanal Remarks Schedule, if more .pace is required) ^^"•• ^^ `•+ 4321 Aviation Way; #10() Ift111�t111IIItIilltltllltltt11111IrIIIlI1111I1I1111 C TY OF CALDWELL 4 14 E LINDEN ST CALDWELL ID 83605 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) ®1888-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD