HomeMy WebLinkAboutEnvision Construction (2)CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDDIYYYY)
11/26/2024
,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 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
NAWr GARDNER JASON B CAT
Western Community Ins Co w 208-232-3608
PO Box 4$48 wc. No, E,d1. 208-401-01 2 FAX
E-MAIL
Pocatello, ID 83205-4848
INSURED k 1
III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiII11IlIl II11I11I1I
ENVI ION CONSTRUCTION LLC
1944 BLACKBERRY LN
CALDWELL ID 83607
INSURERS AFFORDING COVERAGE NAICII
INSURER A - Western Community Ins Co 39519
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:AF0670
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
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
IMMIDD1YYYY1
POLICY EXP
(MMIDDIYYYYILIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE r X OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER
X POLICY PRO LOG
Y
N
8v486301
1/13/24
1/13/25
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurrence
$ 100,000
MED EXP (Any one person)
$ 10,000
PERSONAL BADVINJURY
$ 1,000,000
GENERAL AGGREGATE
s 2 000 000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS A�OS
Ea COMBINEDSINGLE LIMIT
$
BODILY INJURY (Per person)
S
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
EXCESS LIAR
OCCUR
I CLAIMS -MADE
EACH OCCURRENCE
S
AGGREGATE
$
DED I I RETENTION$
$
WORKERS COMPENSATION
ANOEMPLOYERS' LIABILITY Y I NTORY
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED? ❑
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N I A
WC STATU- OTH-
LIMITS
E L EACH ACCIDENT
$
E L DISEASE - EA EMPLOYEEi
S
E L DISEASE - POLICY LIMIT
I s
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mare space hl required)
Refer to I DCG 236 (03/07) Exclusion of Coverage for Structures Built O -CS[—i a IOPY
Designated Areas Endorsement - Copy attached, CALDWELL CITY CLERK
DEC 0 2 2024
IIIIIIIII IIIIIIIIIIIIIIJIIIILILIIIJL11111111111
CITY OF CALDWELL
48140E LINREN ST
CALDWELL ID 83605
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 21.�
AUUKU L9 (LUIUIU*J W 1983-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD