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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