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HomeMy WebLinkAboutAdvance Cable TechnologyACOR 7 a CERTIFICATE OF LIABILITY INSURANCE DATE jMMroDfYYYY) 07r19r2024 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: SARAH MANDERSCHEID BOISE RIVER INSURANCE LLC PHOC.NEMo. (208)94j_2222 ac,�; (208)949-2223 41 S BALTIC AVE STE 100 E-MAIL ADDRESS4 SARAH@BOlSERIVERINSURANCE.COM Meridian, ID 83642 INSURERS AFFORDING COVERAGE NAIC N INSURER A: AUTO OWNERS INSURANCE CO 18988 INSURED INSURERB: Idaho State Insurance Fund 36129 ADVANCED CABLE TECHNOLOGY LLC INSURERC; PO BOX 772 INSURER 0 : MIDDLETON, ID 83644-0772 INSURERE; INSURER F : COVERAGES CERTIFICATE NUMBER: 00018281-3808633 REVISION NUMBER: 240 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 AbbL SUBR POLICY NUMBER MM DIbYNYFYFIf MAD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRJ OCCUR Y Y 57446828 04/06/2024 04108/2025 I EACH OCCURRENCE $ 1 000 000 DAMAI'� TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one son) $ 10,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: RPOLICY JE� a LOC OTHER: GENERAL AGGREGATE S Z 000 000 PRODUCTS COMPlOPAGG S 1,000,000 S A AUTOMOBILE UABILITY ANY AUTO OWNED SCHEDULED AUTOS AUTOS ONLY Ix HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 4944682800 0410812024 04/08/2025 EaMacaden NGLE LIMIT s 1 000 000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE Per acddent S S A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE 49446856600 04/08/2024 04/08/2026 EACH OCCURRENCE S 1,000,000 � AGGREGATE S DIED I I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N ANY PROPRIETOR/PARTNER/EXEC. OFFICERIMEMBER EXCLUDED? (Mandatory In NH) Ifs describe under DESCRIPTION OF OPERATIONS below N f A 574033 10101/2023 10101/2024 X PER STATUTE ERH E L EACH ACCIDENT S 100,000 E L DISEASE - EA EMPLOYEE S 100,000 E L DISEASE - POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 1DII. Additional Remarks Schedule, may be attached H more space Is required) CERT HOLDER, THE OWNER, AND ANY OTHER PERSON OR ORGANIZATION AS REQUIRED BY WRITTEN AGREEMENT ARE COVERED AS ADDITIONAL INSUREDS UNDER THE BLANKET ADDITIONAL INSURED ENDORSEMENT. A- WAIVERrOF LOYYFI L, IY E! EW SUBROGATION APPLIES. J U L 2024 GtK 111-16A I t MULUtK GA1NGtLLA I IUN CITY OF CALDWELL 206 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. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD Printed by SEM on 07/19/2024 at 09-38AM