HomeMy WebLinkAboutGenuine Parts CompanyCALDCHA-01 SWARNFR
A`�RO CERTIFICATE OF LIABILITY INSURANCE
°AT119/2D2YYY)
9/1912024
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
C ACT Kimberlee Riecker
The Hartwell Corporation
PO Box 400
Caldwell, ID 83606
PHONE FAX
(AIC, No, Ext): (AIC, No):
J . kimberlee@thehartweflcorp.com
INSURERS AFFORDING COVERAGE
NAIC 0
INSURERA:The Cincinnati Insurance Company
10677
INSURED
INSURER a; AM Trust North America
INSURER C :
Caldwell Chamber of Commerce
INSURER D :
1001 Blaine Street
Caldwell, ID 83605
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NUMRFR- RFVIAInN NI IMRFR-
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 EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I OCCUR
X
EPP 0220203
i if27l2023
11127/2024
EACH OCCURRENCE
$ 1,000,000
PPAAMAGE TO RENTED
S 100,000
MED EXP (Any onePerson)
S 6,000
PERSONAL & ADV INJURY
S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JECT LOC
OTHER:
GENERAL AGGREGATE
S 2,000,000
PRODUCTS-COMPIOPAGG
S 2,000,000
S
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTN�QWULNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
$
BODILY INJURY Perperson)
S
BODILY INJURY Per accident
S
(401 accident AMAGE
S
S
UMBRELLA LIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
S
AGGREGATE
S
DED RETENTIONS
S
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYER
ANY PROPRIETORIPARTNERrEXECUTIVE YIN
�
QFFICERIMEMgER EXCLUDED?
{Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
C"91625
10/11/2024
10/1112025
X SPERTUTE OTH
E L EACH ACCIDENT
S 500,000
E L DISEASE - EA EMPLOYE
a 500,000
E L DISEASE • POLICY LIMIT
$ 500,000
DESCRIPTION OF OPERATIONS + LOCATIONS VEHICLES (ACORD 101 Additional Remarks Schedule, may be attached If more space Is required)
Regarding C-Town Disk Down at Mallard Park, the City ofCaldwell is an additional insured per form provided.
CERTIFICATE 140LOFR rAIJrFI I ATInM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Caldwell
ry
PO Box 1179
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Caldwell, ID 83606
AUTHORIZED REPRESENTATIVE
ACORD 2512016103) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD