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HomeMy WebLinkAboutAmerican Patrol ServiceACoRo® CERTIFICATE OF LIABILITY INSURANCE DA6%zo�za2�+ 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 INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must 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 Western Community Ins Co PO Box 4848 CONTACT NAME BALL TONY SBB PHONE 208- o -6 6X N, 208-232-3608 E-MAIL aoDRESS- INSURERS AFFORDING COVERAGE NA'Y 0 Pocatello, ID 83205-4848 INSURER A: Western Community Ins Co 39519 INSURED f I IIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIII FINK BUSTIN DBA INSURER B : INSURER C INSURER0: AMERICAN PATROL SERVICE 101 N I ND I ANA AVE CAL WELL ID 83605 INSURERE-, INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR: AF0670 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 ADDL SUBR POLICY NUMBER POLICY EFF MWDDMfYY POLICY EXP MMJODffYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S OO OOO PREMISES Ea occurrence $ 100,000 )( COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR MED EXP (Any one person) $ 10,000 PERW14AL B ADV INJURY $ 300,000 A r Y N 8W 18g3A 5/22/24 5/22/25 GENERAL AGGREGATE $ 600 a00 PRODUCTS - COMP/OP AGG $ INCLUDED GEN'L AGGREGATE LIMIT APPLIES 'r r< X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE L MIT Ea accdent $ BODILY INJURY (Per Person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident S $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y 1 N ANY PROPR ETCR/PARTNERlEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E L EACH ACCIDENT $ E L DISEASE . EA EMPLOYE S (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more apace is required) DECEIVt) BY Refer to I DCG 236 (03/07) Exc 1 us i on of Coverage for Structures Bu i 1 t Outs i devoTNRL 0 iY GI rRK Designated Areas Endorsement - Copy attached. AIN 202t CERTIFICATE HOLDER CONCFI_I.OTIDN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I I I I I II II I I III III I I III 11 111 11 11 1111 1 111 1 111 1111 1111 1 CITY OF CA L DWE L L ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Z�ii" c� CA5 AVE ALDWELL 1D $3605 ACORD 25 (2010105) 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD