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�� CERTIFICATE OF LIABILITY INSURANCE F2/27/2025
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 CONTACT
NAME: Melissa Hall
Durham and Bates Insurance PHONE FAX
1211 SW 5th Avenue WC. No.EaO: 503-224-5170 LArc,Nol:-
E-MAIL
Suite 2800 ADDRESS melissah dbates.com
Portland OR 97204 INSURER($) AFFORDING COVERAGE NAIC0
INSURER A: Valley Forge Insurance Co. 20508
INSURED INSURER B : Continental Insurance CO. _ 35289
DKS ASSOCIATES DKS ASSOCIATES, INC. INSURER C : American Casualty Co of Reading, PA 20427
1050 SW 6th Ave Ste 600 INSURER D : Continental Casualty_Co. _ _ 20443
Portland OR 97205 INSURER E :
INSURER F
COVERAGES CERTIFICATE NUM13ER:298343260 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 TYPE OF INSURANCE ADDLSUBR POLICYNUMBER MMIDDrrt'YYY MPOLICY EFF MtDDIYYYY r
L7q LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
6080860327
5/112024 51112025 EACH OCCURRENCE
$1,000,000
CLAIMS -MADE M OCCUR
' PRI_ EANTED
PRfMISF.51=e c�a,rrer,�j
$1,000,000 _
X
WA Slop hap
MED EXP ;Any one person)
$ 15,000
PERSONAL & ADV INJURY
$ 1,000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
$ 2,000,000
GENERAL AGGREGATE
POLICY JE T LOC
PRODUCTS -COMPIO_P_AGG
$2,000.000
$ 1,000.000
X OTHER: No deductible.
WA S!T Gap,
C
AUTOMOBILE
LIABILITY
6080860053 5/1/2024 511=5
EOa BINEOj SINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
{Per acddent
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
compCollDed.
$$1001$1,000
B
X
UMBRELLALIAB
X
OCCUR
6080860246
511/2024
Sf1fifflS
EACHOCCURRENCE
$2,000,000
AGGREGATE
$2,000.000
EXCESS LIAO
CLAIMS -MADE
OED RETENTION$
$
A
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE
WC 6 80860179 (CA)
WC 6 80860263 (OSC)
511/2024
5/1/2024
511/2025
51112025
X SPER TATUTE ERµ
E.L. EACH ACCIDENT
$1.000.000
OFFICE WMEMSER EXCLUDED? ❑
NIA
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
D
Professional & Pollution Incident
Claims Made Form
Retro. Date: 611711979
MCH591939154 511/2024 5111202$
Each Claim Limil
Aggregate Limil
Dedudible Each Claim
1,000,000
3.000.000
50.000
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD tot, Additional Remarks Schedule, may be attached It more space is required)
Professional Liability includes Pollution Incident Liability.
DKS P25630-000 I RE: Project: Caldwell Cleveland -Linden Concept 402404
Additional Insured: City of Caldwell. When required by written contract, Additional Insured status With primary coverage applies to General Liability and
Automobile Liability and Waiver of Subrogation.applies.to General Liability, Automobile Liability, and Workers' Compensation, all per the attached
endorsements. I' - f
CAI_DWELL CITY CLERK
CERTIFICATE HOLDER Mhn V J fli/3 CANCELLATION
City of Caldwell
PO Box 1179
205 South 6th Ave
Caldwell ID 83606
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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