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HomeMy WebLinkAboutSteven GrahamA QRD CERTIFICATE OF LIABILITY INSURANCE DATE A ECMWDa24YY1 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 confel rf itfti'ttiINWcertificats holder in lieu of such endorsement a . PRODUCER - CONTACT Keefan Caron Keefan Caron 1250 S Allante Ave Boise INSURED PHONE H NNQ. Eatt1� 208-618-2085 a� Nol_ _208-375-21$0 E�rIAIL""— ADDRESE' INSURE S AFFORDING COVERAGE NAICN ID 83709 INSURER A: western Community Insurance Company 39519 INSURER S. INSURER C : Steve Graham INSURER 0, 1719 E Spruce St INSURER E: Caldwell ID 83605 INSURER F : C-nVFRA11.Fl4 PFRTICIf ATC NI IURCO- OCUICIeW srr Iuocn. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AADL SUaR POLICY NUMBER POLICY EFF POLICY EXP fMf4VDDMYYI LIMIT$ A X COMMERCIAL GENERAL LIABILITY z/ CLAIMS-MADE I^ I OCCUR N N 83963603 02/07/2024 02/07/2025 EACHOCCURRENCE DAI�iAr;E roRENYE"D- PREMISEB{Eaggairrem) MED EXP (Any oneparson) S 1.000,000 S 100,000 $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY JET Loc OTHER: GENERALAGGREGATE $ 2.000.000 PRODUCTS -COMPIOPAGO S INCLUDED S A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT acadent S S BODILY INJURY (Per person) BODILY INJURY (Par accident) $ PROPERTY DAMAGE Per a.Q' $ S A UMBR£LLALIAS EXCESS LIAR OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE S DED I I RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERtEXECUTIVE OFFICEWMEMBEREXCLUDED7 El (Mandatory In NH) If yes desa@e under DESCRIPTION OF OPERATIONS below N I A PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS r LOCATIONS t VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It mwe specs is requ red) 5515 Aviation Way #1027 CERTIFICATE HOLDER CANCI=I I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Caldwell Airport ACCORDANCE WITH THE POLICY PROVISIONS. City of Caldwell AUTHORIZED REPRESENTATIVE 4814 E. Linden Road Caldwell ID 83605 64 {/ W 19a8-2015 ACORD CORPORATION. All Fights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD