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HomeMy WebLinkAboutCanyon County Pickleball ClubACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDIYYYV) 0610612024 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 endorsement(s). PRODUCER NAME T Jeff Cevenger Mustard Seel! Financial 8 Ins. PHONE (208) $77-5577 A (208) 939-1780 AtC No ERt : AIC No 501 S Main St ADDRESS: ,ef @?rnseedflnancial.Com INSURER(S) AFFORDING COVERAGE NAIC 0 Meridian ID M42 INSURERA: Ohio Security insurance Company 24082 INSURED INSURER B . Canyon County Pickleball Club INSURER C : 19283 Goldfn�h Way INSURER D- INSURER E: Caldwell ID 83605 INSURER F : COVERAGES CERTIFICATE NUMBER: CL2443035612 RpVISIrtm mlMptFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAND NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIOW. OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PALD CLAIMS. INSR LTR TYPE OF INSURANCE AVUL INSD 5UUM WVO POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMXIDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY CLA.ML-MADE Fx—] OCC. R EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 15,000 PERSONAL &ADV INJURY $ 1,000,000 A Y BKS65911870 C512I2024 05112/2025 GEN'LAGGREGATE LIMITAPPLIES PER: X RO- POLICY ❑ JECT Lac GENERALAGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGG $ 2,000,000 OTHER: GL Non Owned Auto $ AUTOMOBILE LIABILITY SOMBM1ED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOSONLY AUTOS BODILY1 INJURY (Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE (per.. $ 5 UMBRELLA LIAR OCCUR Id EACH OCCURRENCE 5 AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION 5 s WORKERS COMPENSATION PER OTH. AND EMPLOYERS' LIABILITY YIN STATUTE ER E L EACH ACCIDENT S ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA E L DISEASE - EA EMPLOYEE $ (Mandatory In NH) 11 yes. describe under E L DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional Insured as respects to General Liability Cty of Caldwell Parks & Rec P.O. 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 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD