HomeMy WebLinkAboutCapitol Gate Automation SpecialistsCERTIFICATE OF LIABILITY INSURANCE DATEPMMIDDIYYYY]
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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 INSURER(S), AUTHORIZED REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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
CONTACT NAME: KENDRA SMART
HUB INTERNATIONAL MOUNTAIN
PHONE: (866)391-4499 FAX: (800)73&7026
STATES LIMITED -CLIENT
CONNEGT[ON
8D0 S WASHINGTON ST
E-MAIL ADDRESS: ksmart@wntral-insurance.com
INSURER(S) AFFORDING COVERAGE NAIL 0
VAN WERT, OH 45891
INSURER A Central Mutual 20230
INSURED
CAPITAL GATE AUT04tATION
INSURER B
INSURER C
SPECIAL 1ST LLC
356 W HALE ST APT 301
BOISE, ID $3706
INSURER D
INSURER E
INSURER F
CERTIFICATE NUMBER 6146871 REVISION 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
ADDL
SUBNPOLICY
EFF
POLICY EXP
LTR
TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
MM1DDNYYY
MMfDDNYYY
LIMITS
A
GENERAL LIABILITY
V
Y
8947302
3/10/2024
3110/2025
EACH OCCURRENCE
$ 1.000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED PREMISES
S 300,000
CLAIMS -MADE � OCCUR
{Ea occurrence)
MED EXP (Any one person)
$ 5,000
GeWl-AGGREGATE LIMIT APPLIES PER:
PERSONAL 8 ADV INJURY
$ 1,000,000
POLICY PRO• �LOC
JECT
GENERAL AGGREGATE
S 2,000.000
PRODUCTS -COMPIOPAGG
$ 2.000.000
A
AUTOMOBILE
LIABILITY
Y
8947302
3/10/2024
3110/2025
COMBINED SINGLE LIMIT (Ea
S 1,000,000
ANY AUTO
accident)
BODILY INJURY (Per person)
$
ALL OS ❑AUTOS SCHEDULED
AUTOS
BODILY INJURY (Per accident)
S
X
PROPERTY DAMAGE (Per
accidenL)
$
HIRED AUTOS NON -OWNED
AUTOS
DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLES
Certificate Holders are additional insured per the attached endorsements.
Subject to all of the terms, conditions, exclusions and definitions of the above referenced policies as issued by the carrier(s).
No employees - No WC policy
Additional insured: see attached form 8-2356
CERTIFICATE HOLDER CANCELLATION
CITY OF_ LL
X 1179
PO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CALOWELL, EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
L, ID 83606
THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
KENDRA SMART
CAU)W� LI ,TYCI FFiK
JUL 4 2024