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
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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 �'
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