HomeMy WebLinkAboutIdaho Traffic ControlIUAF1 I KA-U[ I'A TTE
ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
6126/2024
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 pol(cy((es) 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
r
his certificate does not confer rights to the certificate holder in lieu of such endorsements .
DUCER C ACT Zach Dehne
Hartwell Corporation PHONE 208 4 FAxBox a00(AIC, No, Ext); 559-1678 (AIC,No);{208} 4$4-1114
dwell, ID 83606 %�NkS3_zachthehartwellcorp.com
INSURED
Idaho Traffic Control LLC
19032 Red Top Road
Caldwell, ID $3605
COVERAGES CERTIFICATE NUMBER: 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.
INSR LTRTYPE OF INSURANCE ADD L SUBR POLICY NUMBER
_
POLICY EFF POLICY EXP LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FA] OCCt1R X .
ICPP 1208591
EACH OCCURRENCE
4/712024 4/712025 DAMAGE TO RENTED
PRVaGESMoommeneekMEDEXPqAn4
$ 1,000,000
$ 300,000
$ 10,000
one rson
$ 1 ,000,000
PERSONAL & ADV IN RY
_
CF,ML AGGREGATE LIMIT APPLIES PER:
POLICY � jreT ❑ LOC
$ 2,000,000
GENERAL AGGREGATE
PRODUCTS -COMPIOPAGG
$ 2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
11000,000
BODILY INJURY Per son
S
ANYAUTO
OWNED SCHEDULED
AUTEO$ ONLY X AUTOS
CPP1215261
417/2024
417r2025
Ix
BODILY
BOORDILY INJURY Per accident
S
PPerOaoodent AMAGE
$
AUTOS ONLY X AUTOS ONLY
$
A
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$ 1,000,000
JX
M
AGGREGATE
S 1,000,000
EXCESS LIAB
CLAIMS -MADE
UMB 1035173
41712024
417/2025
DED I X I RETENTION $ 10,000
S
B
OMPEN A TIIOI N
AND KERSEMPLCOMPENSATION
YIN
ANY PROPRIETDRIPARTNERIEXEGUTIVE ('—'"j
gFICER/M M%BIEW EXCLUDED? j�
andatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N I A
596046
7r112024
71112025
�( PER OTH-
E.L. EACH ACCIDENT
1,000,000
5
E.L. DISEASE - EA EMPLOYEE
$ 1,000.000
E.L. DISEASE - POLICY LIMIT
1,000,000
$
—
RECEIVED gN
.,
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
City of Caldwell is additional insured perform provided.
City of Caldwell
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
ACORD 25 (2016/03)
O 1988-2015 ACORD CORPORATION. AN rights reserved.
The ACORD name and logo are registered marks of ACORD