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HomeMy WebLinkAboutIdaho Site WorksDATE tMM/DDIYYYY) ACORV CERTIFICATE OF LIABILITY INSURANCE 03101/2024 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Robin Carter NAME: Post Insurance Services, Inc. A"�No l:� : (208) 336-5600 FAX No : (208) 344-0651 E-MAIL rcarterlfpostins.c:om ADDRESS: P,O, Box 893 INSURER(S) AFFORDING COVERAGE NAIC 0 INSURERA: United Fire Group 13021 Meridian ID 83680-0893 INSURED INSURER B : Idaho Site Works, LLC INSURERC: INSURER D : 1123 12th Ave Rd #408 INSURER E : INSURER F : Nampa ID 83686 COVERAGES CERTIFICATE NUMBER: 24125 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, I�TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDNYYY MM/DD1YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR EACH OCCURRENCE $ 1,000.000 PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) S 10,000 CG7103, CG2010 X IL7105 PERSONAL &ADV INJURY S 1,000,000 A Y 60542256 03/03/2024 03/03/2025 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY [g JEC LOC GENERALAGGREGATE S 3,000,000 PRODUCTS-COMP/OPAGG S 3,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) s X ANY AUTO A OWNED SCHEDULED AUTOSONLY AUTOS Y 60542256 03/03/2024 03/0312025 BODILY INJURY (Per aocidenl) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Underinsured motorist $ 1,000.000 X CA7109 CA0449 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAR CLAIMS -MADE 60542256 03/0312024 03103/2025 AGGREGATE $ 5,000,000 DED I I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICERRAEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE S Ifyes, descnbe under DESCRIPTION OF OPERATIONS below 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) clM1Lf)wF LL c, iv t:l.f R Project Ustick Road and Montana Avenue Traffic Signal JUL 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. 411 Blaine St AUTHORIZED REPRESENTATIVE Caldwell ID 83605 QA , CCvemoL, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD