HomeMy WebLinkAboutCrown UtilitiesAC �® DATE (MMIDWYIMY
CERTIFICATE OF LIABILITY INSURANCE 7rs:2ozs F7/2i2024
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 Lockton Companies CONTACT
444 W. 47th Street, Suile 900 PHONE FAX No
Kansas Cily MO 64 t 12-1906 E-MAIL
(816)960-9000 ADDRESS:
kcasu' locklon.com INSURERS AFFORDING COVERAGE NAIC 0
INSURED CROWN UTILITIES, LLC
1495220 3900 N. CAN ADA RD
NAMPA ID 83687
INSURERA : National Fire Insurance Co of I lartford
INSURERS : The Continental Insurance Company
INSURER C : American Casualty Company ol-Reading, PA
INSURER D :
INSURER E :
COVERAGES CFRTIFICATF NLIMRFR- 111MOfYtd RFVISInPJ k11IMRFR- YStvvvvY
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 OTHLR 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
MMIDDIYYYY
POLICY EXP
MWDDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 51 OCCUR
N
N
701518778.2
T8(2024
7&12025
EACH OCCURRENCE
$ 11000.000
DAMAGE TO
PREMISES IraRENTED
occurrence)
S 100,000
MED EXP (Any one person)
$ 15,000
PERSONAL R ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER
POLICY EJ PECT RO- ❑
JLOC
OTHER:
GENERAL AGGREGATE
S 2,000,000
PRODUCTS -COMPlOPAGG
S 2,000,000
$
i3
AUTOMOBILE LIABILITY
X ANYAUTO
OWNED SCHED
AUTOS ONLY A TOSULEO
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
N
N7015296489
7.+1 .2024
7f&2025
E0 accidaDlSINGLE LIMIT
$ 1000 000
BODILY INJURY (Per person)
S XXXXXXX
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident
$ XXXXXXX
$ XXXXXXX
$ XXXXXXX
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
7015187806
7:�S-) 024
T8.1025
EACH OCCURRENCE
S 10,000,000
AGGREGATE
$ 10,000,000
DED I I RETENTION$
S XXXXXXX
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERlEXECUTIVE
OFFICERIMEMBER EXCLUDED? L
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
N 1 A
N
7015187790
71� 11b24
WS, 2025
X PER OTH-
STATUTE ER
E.L EACH ACCIDENT
$ 1,0�000
S 1 000 000
E.L DISEASE - EA EMPLOYEE
E.L DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) RECEiV�+7 BY
0ALDVIIH L ;., N C1 FRir
20009034
CITY OF CALDWELL
621 CLEVELAND BLVD
CALDWELL ID 83605
L:ANULLLA 1 IUIV
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED
Q 198814015 ACORD CORPORATION. All riahts reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD