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Home My WebLink AboutEnvision Construction (3),1co " CERTIFICATE OF LIABILITY INSURANCEva512aza (MM/DDIYYYY) P!, 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 pollcy(tes) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this cerilflcate does not confer rights to the certificate holder in lieu of such endorsemen s). PRODUCER; Jason Gardner 525 8 Middleton Rd STE 100 Middleton ID 83644 Jason Gardner PHONE 20"41-0132 FAX No ' o�Ess, INSURERS AFFORDING COVERAGE NAIC# INSURERA: Western Community Insurance Company 39519 INSURED Envision Construction LLC 19448 Blackberry Ln Caldwell ID 83607 -INSURERS: INSURERC: INSURER D: INSURER E ; INSURER F COVERAGES CERTIFICATE NUMBER: 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 LTRPOLICY TYPE OF INSURANCEDLSURR NUMBER POLICY EFF POLICY EXP M LIMITS A X COMMERCIAL GENERALuAsiLITY CLAIMS -MADE N OCCUR Y Y , BV486301 01/13/2024 01/13/2025 EACH OCCURRENCE $ 1.000,000 PREMISES Ma occurrence $ 100,000 MED EXP Any one arson S 10.000 PERSONAL& ADV INJURY s 1.000,000 GENL AGGREGATE LIMIT APPLIES PEFL X POLICY JET LOC OTHER - GENERALAGGREGATE $ 2.000,000 PRODUCTS-COMPIOPAGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED ISCHEDULED AUTOS ONLYAUTOSI HIRED NON -OWNED ONLYAUTOS ONLY Y Y 08-314863-02 01/13/2024 01/13/2025 a acdde 1 CO. INED NGLE UM T E $ 1,000,000 BODILY INJURY (Par person) $ BODILY INJURY (Per soddant) $ PRO=tl) GEAUTOS Per ecdden $ A UMBRELLA L1AB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE; S AGGREGATE S DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNERn=XECUTIVE ❑ OFFICERIMEMSEREXCLUDED7 Wandstory M NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA PER OTH STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE S E.L. DISEASE - POLICY LIMIT i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlllanal Remarks Schedule, may be attached If more space Is required EC EIVE D BY CALDWELL CITY CLERK NOV 13 2024 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 AUTHORIZED REPRESENTATIVE Caldwell ID 83606 [ eVoLi 4MA4a, m 198W5 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD