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A�COfKi' CERTIFICATE OF LIABILITY INSURANEE 'F-;;;EIMYYYI
04116/202l2024
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 poficy(iss) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject 10 the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer ri to the certificate holder In lieu of such endorsement(s).
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P-O. BOX 328
CONTACT
NAME: CLIENT CONTACT CENTER
rAICNNo. Exit: 888-333-4949 A , Nol: 5074464%4
OWATONNA, MN 55060
nopsEss:CLIENTCONTACTCENTER FEDINS.COM
_ INSURERS AFFORDING COVERAGE
NAIL b
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 426-659-9
INSURER 9:
CENTRA- COVE CONSTRUC r I ON, LLC
PO BOX 314
INSURER C:
INSURER 0:
WILDER, ID 83676-0314
INSURER E:
INSURER F:
wrs:lcnvca %XK11rI6AIC FIVNICICK: If REVISION NUMBER: D
THIS S TO CERT FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER OD INDICATED
NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC,.' TO WHICH TH S CERTIF CATE MAY BE
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POCK ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND COND TIONS OF
SUCH POL LIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I R
TYPE OF INSURANCE
D
POL CY NUMBER
Y EFF
Y XP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
AGGREGATE LIMIT APPLIES PER:
Co- O LOC
OTHER
Y
Y
1861791
OS/25/2024
05.25l2025
EACH OCCURRENCE
$1,000,000
AMAOE TO ENTED PREMISES
;100 OOO
MED EXP (Any one pen )
EXC. UDED
GENT
MPOLICY
PERSONAL& ADV INJURY
}1,000,0go
GENERAL AGURC
PRODUCTS & COMPIOP A00
$2,000,000
A
AUTOMOBILE LIABILITY
X ANYAUTO
OWNED AUTOS ONLY ]2qH&ULED
HIRED AUTOS ONLY NON -OWNED
AUTOSONLY
Y
Y
1861791
05/2WO24
05,7 12025
E IdBED SINGLE LIMIT
$1,000,000
BODILY INJURY IPer Person)
BOOBY INJURY IPK Accidm0
PROPERTY pAMAOE
jPerA 6
A
X
UMBRELLA LMB
EXCESS LIAB
X OCCUR
CLAims-wDE
N
N
1861792
DW25l2024
05/25/2025
EACH OCCURRENCE
ACOREOATE
$2,000.000
$2,000,000
DED I RETENTION
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTHERI EXECUTIVE
OFFICEIUMEMBER EXCLUDED? 17
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERAT ONS below
NIA
N
1861825
05125/2024
05t25(2025
X I PER STATUTE THER
E.L EACH ACCIDENT
$500,000—
E.L DISEASE EA EMPLOYEE
$500,000
CL DISEASE POLICY LIM T
$500,0()0
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 Addiberwl Remarks Sd»dore, may be atla hed 1 men space ,a Ipuind)
SEE ATTACHED PACE
♦.cnlrrl�.nlc nvlycaa UT rrAr11,:CLLA I IVr'd
426.659-9 - Lr 170
CITY OF CALDWELLI (� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
CALDWELL, D 83605 3619 APR R .) � 20241 ACCORDANCE WIFORE THE TH THE NPOALICY PROVISIONS.TE TICE WILL BE DELIVERED IN
AUTHORIZED REPRESENTATIVE Ajler�
W 190-2015 ACORD CORPORATION. All rights reserved.
ACORD 251201B103) The ACORD name and logo are registered marks of ACORD