HomeMy WebLinkAboutAmerican Patrol ServiceACoRo® CERTIFICATE OF LIABILITY INSURANCE
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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
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CA5 AVE
ALDWELL 1D $3605
ACORD 25 (2010105) 01988-2010 ACORD CORPORATION. All rights reserved.
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