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CERTIFICATE OF LIABILITY INSURANCE I` 1121212
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.'
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI---
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 endorsement(s).
PRODUCER -- — _CRDTACT - - -
Hub International Northwest LLC PHONE /42 Fax 425 485-8489
PO Box 3018 _(AIC, No, Extk 1 5? 489-4500 (A/C, Noj:I
Edt1AIL
Bothell, WA98041 I�r M.l } ^n^l_ADDRE9$;now.infoehubinternational.com
J N ` 2024 INSURER(S) AFFORDING, COVERAGE L NAIC #
INsuRERA-.Western National Assurance Company _ 24465
INSURED _INSURER a:Western National Mutual Insurance Company 15377
Beacon Plumbing Heating Electric and Mechanical INS URE_RC:
5312 Cleveland Blvd INSURERD:
Caldwell, ID 83607
INSURER E
INSURER F :
COVERAOU REVISJON NUMBER:
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC'ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES L MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _
INSR TYPE OF INSURANCE ADDLTSUBR� POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTIRIMMIODIYYYYI . IMhtfDIJMr YI
A X COMMERCIAL GENERAL LIABILITY i EACH OCCURRENCE 1,000,000
,LAW -MADE �X OCCUR X X CPP1337543 ` 3/11/2024 3/1112025 DAMAGE TO RENTED 100,000
I REMISES (Ea occurrernet 1 $
MEDEXP_�Anrone _ rson
PERSONAL$ADV NJURY
GENERAL AGGREGATE
PRODUCTS-COMPIOPAGG
COMBINED SINGLE LIMIT
3/1112024 311112025 BODILY INJL.RY IPerpersonj.
BODILY INJI.?Y Per ac_c_i_dent
C PROPERTYAM GA E
I ,Per accident)
$
$ 1
.EWL AGGREGATE LIMIT APPLIES PER-
POLICY X] PRO- LOC
JECT
OTH Y:
S 2
2
$
$
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
AURE pN pyly� p
TOS ONLY Al1TOS ONLY
CPP1336817
$
$
S
$
B
X
UMBRELLA LIAB
EXCESS LIAB
X OCCUR
CLAIMS -MADE
UMB1056235 3/11/2024 3111/2025
WCV 1040727 3111/2024 311112025
I
EACH OCCURRENCE
AGGREGAT _
$ 5
$ 5
DED X RETENTION $ 10,000
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYSTATUTE
AApNYPROPRIETORIPARTNEWEXECUTIVE —
(MFand RIMEn NHR EXCLUDED?
It yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
X PER OTH-
E.L. EACH ACCIDENT
1
$
E.L. DISEASE - EA EMPLOYE
1
$
-
P I rIMPACF - Pni IPV I MATT
a 1
'RIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Back flow Install for Fire Station #3; 11945 Skyway St., Caldwell ID 83405
City of Caldwell is included as an additional insured, Coverage is Primary and non-contributory and Waiver of Subrogation applies per the attached
isiendorsements. Per Project Aggregate applies to General Liability policy, per attached forms/endorsements.
The City of Caldwell
PO Box 1179
Caldwell, ID 83606
ACORD 25 (2016103)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS. I
AUTHORIZED REPRESENTATIVE
Ca} 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD