HomeMy WebLinkAboutGeveko MarkingsA� pe CERTIFICATE OF LIABILITY INSURANCE
DA8/07)21fDDlYYYYy
0810712024
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
MARSH USA, LLC.
CONTACT
NAME:
9830 Colonnade Blvd, Suite 410
PHONE ' FAX
I (ac, Nox
San Antonio, TX 78230
Ann ROW.CertRequest@Marsh.00m
,MAIL
ADDRESS:
INSURERS) AFFORDING COVERAGE
NAIC N
INSURER A : HDI Global Insurance Company
d 1343
CN344205882-STND•GAW-23-25'
INSURED Geveko Markings Inc
INSURER B : Ohio SecurityInsurance Company
e4082
INSURER C
1883 New Harvest Road
Gainesville, GA 30507
INSURER D ;
INSURER E ;
INSURER F :
COVERAGES CERTIFICATE NUMBER: HOU-004132042-01 REVISION NUMBER: 1
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
LTR
OF INSURANCE
L
ADDTYPE
UB
POLICYNUMBER
POLICY EFF
MMICO
POLICY EXP
MMrDD
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FJ OCCUR
AGGREGATE LIMIT APPLIES PER:
POLICY JECOT- LOC
OTHER:
GLDS826802
05tOV2024
0901.2025
EACH OCCURRENCE
s 1,000,000
DAMAGE TO RENTED -
PREMISES Ea occurrence
$ 100,000
MED EXP (Any one person)
$ 5,000
GEN'L
PERSONAL & ADV INJURY
S 100,000
GENERAL AGGREGATE
S 3,ODO,000
X
PRODUCTS -COMPIOPAGG
$ 1,ODO,000
r
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BAS 66848660
0711W024
07:18/2025
OMBINEDISINGLE LIMIT
acaden
$ 1.000.000
X
_(Ea
BODILY INJURY (Per person)
S
BODILY INJURY (Per atader,t)
$
PROPERTY DAMAGE
Per awoent
$
$
UMBRELLALIAB
EXCESS LIAR
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
DEO I I RETENTIONS
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y J N
ANYPROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBEREXCLUDED7
(Mandatory In NH)
Ir y, , dBscribe under
DESCRIPTION OF OPERATIONS below
NIA
TWC4296558
08/1612023
08/1612024
PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
S 1,0M.0DO
E.L. DISEASE - EA EMPLOYE£
9 1,000,ODO
E.L. DISEASE - POLICY LIMIT
$ 1,000.000
DESCRIPTION OF OPERATIONS! LOCATIONS f VEHICLES IACORD 101, Additional Remarks Schedule, may be attached If more apace Is requiredl RECEIVCD SY
City of Caldwan Is invaded as additional Insured (except Workers Compensation) where required by written contract. CALOWF,LL 61 rY CLERIC
AUG 1 3 2024,
C1y of � aldwell
P. 0. Box 1179
Caldwell, ID 83606
L01-1i Let =1 III W_t I Lei:
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
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD