HomeMy WebLinkAboutDestination Caldwell (2)�1 UE5TCAL-07
HHUNTINGTON
DATE(MMIDDrYYYYI
312812024
CERTIFICATE OF LIABILITY INSURANCE
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(les) 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 endorsements .
PRODUCER
C ACT
The Hartwell Corporation
PO Box 400
Caldwell, ID 83606
PHONE FAX
litc, No, Ex1 : (208) 459-1678 Arc Na :(208) 454-1114
%Miss, thc@thehartwellcorp.com
INSURIERISI AFFORDING COVERAGE
NAIC M
INSURER A: Western National Mutual Insurance Co
15377
INSURED
INSURER 8:SIF Idaho Workers Compensation
36129
INSURER C :
Destination Caldwell Inc
INSURER D :
119 S 7th Ave
Caldwell, ID 83605
INSURER E :
INSURER F:
CCSVFRAC;FS CFRTIFIC`ATF IJI IMRFR• AFVIQInk1 adl IIIARCC-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTER 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
ADOL
SUBR
POLICY NUMBER
POLICY EFF
MMMDrYYY
POLICY EXPLTR
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [K OCCUR
X
CPP 1334672
3/2812024
3/28/2026
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
omuffenoelMED
$ 100,000
EXP (Any one on
$ 0
PERSOPkAL & ADV INJURY
$ 1,000,000
GEWL AGGREGATE LIMIT APPLIES PER
X POLICY 0 %& LOC
OTHER. MEDICAL IS EXCLUDED ON POU
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMPIOP AGG
S 2,000,000
EBL 1 MIL EA EMP
S 2,000,000
A
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
S 1,000,000
BODILY INJURY Per penonj
S
ANY AUTO
OWNED SCHEDULED
CPP 1334672
3/2812024
3/28/2025
AUTOS ONLY AUUTTOSy
BODILY INJURY Per awdenl
S
Perr. '"�AMAGE
Eo
X AUTOS ONLY Ix AUTO ONLY
S
A
X
UMBRELLA IJAB
OCCUR
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
S
EXCESS LIAB
CLAIMS -MADE
CPP 1334672
312812024
3128/2025
DEP I I RETENTIONS
i3
AND EMPLpYERS' LUl IB LOITY
ANY PROPRIETORMARTNERIEA!'CUTIVE YIN
FICERIMEM EXCLUDEa,
andatory in I
If es, describe under
DESCRIPTION OF OPERATIONS below
NIA
659782
91112023
9/1/2024
�( PCR OTH-
F.L EACH ACCIDENT
S 500,000
E.L DISEASE -EA EMPLOYE
S 600,000
E.L. DISEASE -POLICY LIMIT
500,000
A
Liquor Liability
CPP 1334672
312812024
3/28/2025
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached IT mom space Is required)
City of Caldwell is named additional insured. RE
CAL pwEL, T CiIgy
Cty CL�Rk
MAR Z 8 2024
CERTIFICATE HOLDER CANCFI 1 ATlntd
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Caldwell
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 1179
ACCORDANCE WITH THE POLICY PROVISIONS.
Caldwell, ID 83606
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) qD 1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD