Loading...
HomeMy WebLinkAboutDEX Imaging.4llk. ? ® CERTIFICATE 4F LIABILITY INSURANCE DATEIMM!061301202025 YYi 5 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 Aon Risk services, Inc of Florida 4010 w. Boy Scout Boulevard CONTACT Nam' (AIC. No. Ea1): (666} 263-7122 FAX No: (800) 363 0105 E•MAtL ADDRESS: Suite 2D0 Tampa FL 33607 USA INSURER(S) AFFORDING COVERAGE NAIC M INSURED INSURER A: Zurich American Ins Co 16535 DEX Imaging, LLC 5109 w Lemon street Tampa FL 33609 USA INSURERS• Federal insurance Company 20281 INSURER American Zurich Ins CO 40142 INSURERD: The Continental Insurance Company 35289 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570113917364 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. Limits shown are as requested LTR INSR TYPE OF INSURANCE AL I p bUldli yryp POLICY NUMBER MLgppryy LIMITS X COMMERCIAL GENERAL LIABILITY CPO - EACHOCCURRENCE $1.000,000 CLAIMS -MADE MOCCUR PREMISES Ea;o6unence 51,000,000 MED EXP (Any one person) S10, 000 PERSONAL& ADV INJURY S1,000,000 GEN'LAGGREGATELIMIT APPLIES PER GENERALAGGREGATE S2,000,000 X POLICY ❑ JECT ❑ LOC PRODUCTS-COMPIOPAGG S2,000,000 OTHER: A AUTOMOBILE LIABILITY BAP 6955146 - OD 06l061202408{DIJ202S COMBINED SINGLE LIMIT(Ea accident) 52,000,000 BODILY INJURY I Per person) X ANY AUTO BODILY INJURY {Peraccident) OWNED SCHEDULED AUTOSONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident B X UMBRELLA LIAB OCCUR 56722756 4 EACH OCCURRENCE $5,000,000 EXCESS LIAB H CLAIMS -MADE AGGREGATE $5,000,000 DED RETENTION A A WORKERS COMPENSATION AND EMPLOYERS'LUIBILITY YIN ANY PROPRIETOR/ PARTNER I EXECUTIVE OFFICEROMEMBER EXCLUDED 4 N (Mandatory In NH) NiA WC698659900 wc698659901 workers Compensation 4 06/22/2025 08/01/2025 X PER STATUTE OTH R E.L. EACH ACCIDENT S 1, 000 , 000 E.L. DISEASE -EA EMPLOYEE S 1, 000 , 000 If yes. descnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Add0lunal Remarks Schedule, may be attached If more space Is requlred) city of Caldwell is included as Additional insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein is Primary and Non -Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A waiver of Subrogation is ranted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability and workers Compensation policies. RECEIVED BY a O Z N �y L] W f vr��L.JrYLL[„ 1.1 I T ULt_NK CERTIFICATE HOLDER I f� j CANCELLATION SHOULD ANY OF THE J V U I 202� EXPIRATION DATE THFVNO ICECWILLDBE DELIVERED IN ACCORDANCE POLICIES BE CANCELLED BEFORE THE — POLICY PROVISIONS. City Of Caldwell AUTHORIZED REPRESENTATIVE Po Box 1179 Caldwell ID 83606 USArW J �' 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD