HomeMy WebLinkAboutDestination CaldwellDESTCAL-01 HHUNTINGTON
A`Cp�O CERTIFICATE OF LIABILITY INSURANCE
DA3128/2024YYI
3r28l2024
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 13ETWEEN 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
The Hartwell Corporation
PO Box 400
PHONE
(A/C. No, Eat : (208? 459-1678 AIC, No): (208 ) 454-1114
Caldwell, ID 83606
E-MAIL , the thehartwellcorp.com
INSURER $ AFFORDING COVERAGE
NAIC N
INSURERA:Western National Mutual Insurance Co
15377
INSURED
INSURER B : SIF Idaho Workers Compensation
36129
INSURER C
Destination Caldwell Inc
119 S 7th Ave
Caldwell, 10 83605
INSURER D ;
INSURER E :
INSURER F :
COVERAGES CFRTIFICATF NI IMRFR• 0C%140lnIkI \u uINtl CO.
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 SEEN REDUCED BY PAID CLAIMS.
ILTRNSR
I TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
X
CPP 1334672
3/2812024
3/28/2025
EACH OCCURRENCE
$ 1,000,000
DAMAGE T;MISESO R(EaENTED
$ 100,000
MED EXP (Any oneperson)
$ 0
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L
X
AGGREGATE LIMIT APPLIES PER
POLICY ❑ ippa LOC
OTHER. MEDICAL IS EXCLUDED ON POLI
GENERAL AGGREGATE
$ 2,000.000
PRODUCES - COMP70P AGG
$ 2,000,000
EBL 1 MIL EA EMP
$ 2,000,000
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
BODILY INJURY Perperson)
s
ANY AUTO
OWNED AUTOS ONLY AUUTOOSSUNLNED
AUTOS ONLY X AUTOS QNLY
CPP 1334672
3/28/2024
3/2812025
BODILY INJURY Per acadent
$
X
Pe�aoEcWen DAMAGE
$
S
A
X
UMBRELLA LIAR
EXCESS UAe
HCLAIMS•MADE
OCCUR
CPP 1334672
3/28/2024
3/2812025
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$
DIED I I RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNEWEArWI VE YIN659782
W.. FfCER1MkMBER EXCLUDED
andatory In 1
If as describe under
DESCRIPTION OF OPERATIONS below
NIA
91U2023
911l2024
X PER OTH
ELEACH ACCIDENT
$ 500,000
EL DISEASE EA EMPLOYEE
$ 500,000
E.L DISEASE POLICY LIMIT
$ 500,000
A
Liquor Liability
GPP 1334672
3/2812024
3/28/2025
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached If more space is required)
City of Caldwell is named additional insured.
City of Caldwell
PO Box 1179
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.
AUTHORIZED REPRESENTATIVE
AL,Umu Lo tzulolUJ) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD