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Home My WebLink AboutGranite ExcavationDATE (MMIDOIYYYY) A� V CERTIFICATE OF LIABILITY INSURANCE 3/28/2024 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 ri hts to the certificate holder in lieu of such endorsement(s). IOIT IT PRODUCER NAME; Staoey Anderson Arthur J. Gallagher Risk Management Services, LLC PHONE FAX 6967 South River Gate Dr !A(CN"AI 601-290-1400 Suite 200 ADDRESS: Certre9__uest' .Corn —__..s � aJ9 Salt Lake City UT 84047 FNSURER(SI AFFORDING COVERAGE NAIC0 INSURED Granite Excavation, Inc Granite Companies, LLC 23 Warm Lake Hwy Cascade ID 83611 GRANEX" INSURER A: Illinois Union Insurance E COVERAGES CERTIFICATE NUMBER: 104RB1913 REVISION NUMRFR-- 27960 29424 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 AO�L $UBii POLICY NUMBER M VRUJYYYY MM/DDnYYY LIMITS LTR C X COMMERCIAL GENERAL LIABILITY Y 34UEAAA8878 4/1/2024 4/1/2025 EACH OCCURRENCE $1,000,000 CLA MS -MADE X OCCUR -riRFzNTED PER MIA SES Ea occurrence $1.000,000 MED EXP (Any one person S 10,000 PERSONAL S ADV INJURY $1,000,000 GEN'L GENERAL AGGREGATE s 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY i J JECT u LOC PRODUCTS - COMPIOP AGG $ 2,000.000 Deductible S 5,D00 OTHER; C AUTOMOBILE LIABILITY Y 34UEAAABB77 41112024 41112025 COMBINED SINGLE LIMIT Ea accident s 1,D00,000 X BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS $ BODILY INJURY (Per accident) PROPERTYDAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY — Deductible $ 0 B X UMBRELLA LIAO X OCCUR Y 34HHABC2YDA 411/2024 4/1/2025 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE X DED RETENTION S Deductible $ 10.000 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOFVPARTNEFLEXECUTIVE 34WEAARSFYT 4/1/2024 4/112025 X STATUTE ERH E.L. EACH ACCIDENT S1,000,000 OFFICER+AAEMBE R EXCLUDED?LY NIA E.L. DISEASE - EA EMPLOYEE $1.000.000 (Mandatory In NH) It yea. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,D00 A Pollution Liability CPYG72514506004 411/2024 4/112025 Limit $1,000.000 C LeesedlRented Equipment 34MSACS771 4/1/2024 4/1/2025 Deductible Limit $15,000 $250,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Verification of insurance subject to the terms and conditions of the policy CONSULTANT PROJECT NO.: 403-22-03 1 Project Name: Farmway Waterline Extension City of Caldwell and Engineerrand. any, individuals or entities, officers, directors, members, partners, employees, and consultants are Additional Insured with respect to General Liaktility;arWh4tg4abilily. Umbrella follows form. �; O RD 20 CERTIFICATE HOLnFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Caldwell 621 Cleve°and Boulevard AUTHORIZED REPRESENTATIVE Caldwell ID 83605 (9 19BB-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD