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HomeMy WebLinkAboutBeacon Plumbing (4). V\ VA ) V'VNK �1 BEAGPLU-03 PGAYATHR DATE 7/20lYYYY) r4r2o2a CERTIFICATE OF LIABILITY INSURANCE 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(les) 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 Hub International Northwest LLC PO Box 3018 Bothell, WA 98041 d TACT PHONE FAX IArC, No, Eat): (425) 489-4500 LAIC, No),(425) 485-6489 E-MAIL now.info@hubinternational.com ADJ2HF.$S: INSURERS) AFFORDING COVERAGE NAIC p INsuRERAMestern National Assurance Company 24465 INSURED INSURER B : Western National Mutual Insurance Company 16377 .- Beacon Plumbing Heating Electric and Mechanical INSURERC; INSURER D ; 5312 Cleveland Blvd Caldwell, ID 83607 INSURER E ; INSURER F: COVERAGES CERTIFICATF NI)MRFR• RFVlglnnl NI IMRI=Q- 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 SUER POLICY NUMBER POLICY EFFLTR POLICY EXP LIMITS A TMERCIAL GENERAL LIABILITY CLAIMS -MADE I X 1 OCCUR GEN'L AGGREGATE LIMIT APPLIES PER POLICY �X PPET FX7 LOC OTHER: X X CPP1337643 3/1112024 3/11/2025 EACH OCCURRENCE $ 1,000,000 DAMPREAGE TO RSES (E.ENTED S 100,000 MED EXP (Any oneperson) S 6,000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG S 2,000,000 S A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOSONLYAUTOS RUTOS pNLY AUTO ONLY CPP1336817 3/11/2024 3/11/2025 COMBINED SINGLE LIMIT S 1,000,000 X BODILY INJURY Per son S BODILYBRORDILYINJURY Per accident S PPerr accident AMAGE S S B X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE UMB1056235 3111/2024 311112025 EACH OCCURRENCE $ 5,000,000 AGGREGATE S 5,000,000 DED I X RETENTION 5 10,000 S A WORKERS COMPENSATION AND EMPLOYERs'uABILITY ANY PROPRIETORfPARTNER(EXECUTIVE YID %FICERIMEMBEREXCLUDED? (Mandatoryin NH) II es, describe under DESCRIPTION OF OPERATIONS below NIA WCV1040727 3/1112024 3/11/2026 X PER OTH- E.L. EACH ACCIDENT S 1,000,000 E.L. DISEA E-EAEMPLOYEE S 1,000,000 S 1,000,000 E.L. DISEASE - POLICY LIMIT _F DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES ACORD 101, Addillonal Remarks Schedule, may be attached if more space Is required) RE: Back flow Install for Fire Station #3; 11945 Skyway St., Caldwell ID 83405 The City of Caldwell is included as an additional insured, Coverage is Primary and non-contributory and Waiver of Subrogation afi li s`adr!the attached forms/endorsements. Per Project Aggregate applies to General Liability policy, per attached form slendorsements. 1'1'wi [N1 Il Ll Vi i-Y C}LEERt. �! I # 0P The City of Caldwell PO 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD