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HomeMy WebLinkAboutRuben AsumendiV1 ) �� UBILFAR-01 EMARTI 14`C1111R EP, CERTIFICATE OF LIABILITY INSURANCE DAT414/2 DIYYYY, 14/2024 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 endorsements . PRODUCER ACT Deal Insurance 917 2nd Street South HTN E:, ; {2D8) 4fi6-24fi5 FC A X' No ;{2013) 4fi6-2471 Mkss,thc@thehartwelicorp.com Nampa, ID 83657 INSURER(S) AFFORDING COVERAGE NAIC A INSURERA-Granite .State Insurance Co INSURED INSURER B INSURER C : Ruben Asumendi INSURER D: 23032 Highway 20126 Parma, ID 83660 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER-- REVICInN 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF XL POLICY EXPLTR 1NM29a= LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR X 02-LX-089476940-1 3/22/2024 3i22I2025 EACH OCCURRENCE S 1,000,000 DAMAGE TO RSESE,ENTED PR.Moccurrencel MED EXP (Any oneperson) PERSONAL 8 ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY Eljra- LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AURTEO�S ONLY AUUT�OpSyyN n AUTOS ONLY AUTOS ONLY COMBINED (Ea a dent,SINGLE LIMIT $ BODILY INJURY Per BODILY INJURY Per accident S PPeOarlent AMAGE S S UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE DED I I RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PRO RIIETOEREJIPARTNERRI ECUTIVE ❑ �ulandYatory En NH) If Yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE S E.L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101. Addhional Remake Schedule, may be attached If more space Is required) Insurance coverage for the hangar at 517 Dauntless Place, Caldwell, ID 83605 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Treasure Valley Executive Airport 4814 E Linden THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Caldwell, ID 93605 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD