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GEOENINC2
ACORD.. CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
s/07/2025
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT NAME: Teren Hopstad
USI Insurance Services NW CI_
.PH NE E><n:206441-6300 F, N,; 690-362-8530
601 Union Street, Suite 1000
_
E-MAIL een.o stad
trhusi.com
ADDRESS: P @
Seattle, WA 98101
INSURER(5) AFFORDING COVERAGE
NAIC II
INSURER A: Charter Oak Fire Insurance Company
25615
INSURED
B: Travelers Property Cas. Co. of America
25674
GeoEINSURER
,Inc.
INSURER C : Farmington Casualty Company
41483
17425 NE Union
17425 NE Union Hill Road, Suite 250
INSURER D : Allied World Assurance Co (US) Inc.
19489
Redmond, WA 98052
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISInN MIIMRr-R-
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 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
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDD
POLICY EXP
MWOOfYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCGUR
X
X
P630SW600538COF24
6/30/2024
0613012025
OECCTURRENCE
$1 000 000
pEAACMHH
PREMISES EaEcNr:cTirEnence
s300 000
X
MED EXP (Any one person)
$10 000
WA Stop Gap
PERSONAL & ADV INJURY
$1,000,000
GEM_ AGGREGATE LIMIT APPLIES PER:
POLICY a JECOT. LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMPIOPAGG
s2,000,000
Stop Gap
$1,000,000
OTHER:
B
AUTOMOBILE
LIABILITY
ANY AUTO
X
X
810OW4832012443G
6/30/2024
06/30/202
COMBINED SINGLE LIMIT
Ea accddenl
1,000,000
X
BODILY INJURY (Per person)
$
X
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY Ix AUTOS ONLY
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Par accident
$
$
B
X
UMBRELLA LIAO
X
OCCUR
X
X
CUP11W6652292443
0613012024
06/3012025
EACH OCCURRENCE
$10000000
AGGREGATE
$10 000 000
EXCESS LIAR
CLAIMS -MADE
(Follow Form)
-DEC) I X1 RETENTION $1O 000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYLITE
ANY PROPRIETORIPARTNERIEXECUTIVE :R]
OFFICERIMEMBER EXCLUDED? n
(Mandatory in NH)
If yes, dawAbe under
N I A
X
UB9T8195922443G
Includes:
MEL1t1SL&H
6130/2024
06130/202
XPER OTH.
JE
E.L. EACH ACCIDENT
$1 000 000
E.L. DISEASE- EA EMPLOYEE
$1 000 000
E.L. DISEASE- POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS below
D
Pollution
X
X
03138963
0613012024
06/30/202
$10,000,000 E.Condition
Liability
$10,000,000 Aggregate
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is requlred)
RE: Project Number: 10317-012-01, Project Name: City of Caldwell - Wash Rack Expansion Geotechnical
Engineering Services, Project Location: Caldwell, Idaho.
The General Liability policy includes an automatic Additional Insured endorsement that provides
Additional Insured status to the Certificate Holder, only when there is a written contract that requires MAY U 7 2025
such status, and only with regard to work performed on behalf of the named insured.
City of Caldwell
411 Blaine Street
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
n"
Cs) 1908-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) 1 of 1
#S491996541M47217471
The ACORD name and logo are registered marks of ACORD
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