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HomeMy WebLinkAboutHomeland Fireworks Inc.ACOROe CERTIFICATE OF LIABILITY INSURANCE `� DATEIMMroDnrYYY) 1 04/24/2025 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PROFESSIONAL PROGRAM INSURANCE BROKERAGE PHONE 415-475-4300 AX NO; 415-475-4303 CM- No ExtlDIVISION 4IAIL ADDRESS: OF SPG INSURANCE SOLUTIONS, LLC INSURER(S) AFFORDING COVERAGE NAIC N 1304 SOUTHPOINT BLVD., #101 INSURER A : Certain Underwriters at Lloyd's, London AA-1128623 PETALUMA CA 94954 INSURED INSURER B : Homeland Fireworks, Inc ENSURER C : INSURER D : PO Box 327 INSURER E Ontario OR 97914 INSURER F COVERAGES CERTIFICATE NUMBER! BL-004044 REVISION NUMBER: 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. ILTR TYPE OF INSURANCE L UBR POLICY NUMBER POLICY EFF POLICY YY LIMITS A X COMMERCIAL GENERAL LIABILITY X1 CLAIMS -MADE OCCUR X PY/25-0062 04/11/2025 04M1/2026 EACH OCCURRENCE f $3,000,000 PREMISES Ea occurrence $ $50,000 MED EXP (Any one person) $ PERSONAL 6ADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PEW X JECT LOC POLICY ID OTHER: GENERAL AGGREGATE $ $3,000,000 PRODUCTS-COMPIOPAGG s INCLUDED 1 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY This insurance was proc developed under the Ore Lines laws. It is NOT co provisions of ORS 734.5 ired and gon Surplus red by the 0 to 734.710 COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLALIAS EXCESS LIAB HCLAIMS-MADE OCCUR anty Association. If the i this insurance becomes i sorer issuing nsolvent, the EACHOCCURRENCE S AGGREGATE S DED RETENTION$ s WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? (Mandatory in NH) IF yes describe under DESCRIPTION OF OPERATIONS below NIA has no obligation to pay this insurance. I )aims under SPER TATUTE E* R E.L. EACH ACCIDENT $ E.L. DISEASE - FA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Caldwell School District City of Caldwell are Additional Insured as respects the Class B (1.3g) fireworks display(s) on 07/04/2025 located at 3401 S Indiana Ave., Caldwell, ID 83605. This policy provides a two-year extended reporting period from the date of the display. 30-day notice of cancellation and a 10-day notice for non-payment applies. CERTIFICATE HOLDER CANCELLATION City of Caldwell 205 S 6th Ave Caldwell ID 83605 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 SM4,,t_ %A— ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD