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HomeMy WebLinkAboutEvangreen Technologies (2)A1�I ® V CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD1YYYY) 11/11/2024 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(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 NAME: Kylie Whetton Post Insurance Services, Inc. PHONE (208) 336-5600 ac No : (208) 344-0651 P.O. Box 893 EMAIL kwhetton@postins.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC N INSURERA: Owners Insurance Company 32700 Meridian ID 83680-0893 INSURED INSURER B : Auto Owners Insurance 16988 Evengreen Technology Inc. INSURER C : Idaho State Insurance Fund 36129 401 N Main Street INSURER D : Lloyd's of London 15792 INSURER E : INSURER F : Meridian ID 83642 COVERAGES CERTIFICATE NUMBER: 24125 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 LTR TYPE OF INSURANCE POLICY NUMBER MMIDD EFF MMID POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE © OCCUR PREMISES JEa occurrence $ 300,000 X MED EXP (Any oneperson) $ 10,000 55373 - Blkt Al. 55091 - WOS PERSONALdADVINJURY $ 1,000.000 A Y 57951156 11108/2024 11/08/2025 GEMLAGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � ECT LOC PRODUCTS $ 2.000,000 Hired Auto & Non -Owned $ 1,000,0000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aa1nl $ 1,000,000 BODILY INJURY (Per persm) $ X ANYAUTO * OWNED SCHEDULED 5095115600 111OW024 11/08/2025 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident Medical payments $ 5,000 X 58504 -Al X 58583 - WOS X UMBRELLALIAS X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE g 4,000,000 8 EXCESS LIAB CLAIMS -MADE 5095115601 11/08/2024 11/08/2025 DIED I X1 RETENTION $ 0 $ WORKERS COMPENSATION X PER STATUTE ERH AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 C OFFICERIMEMBER EXCLUDED? NIA 655387 01/01/2024 01/01/2025 E.L. DISEASE - EA EMPLOYEE $ 1,000.000 (Mandatory In NH) ifyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 Professional Liability $1,000,000 Professional Liability D [:EANE215802224 02/28/2024 02/2812025 Data Breach $50,000 Network Security & Privacy $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) RECEIVED BY The City of Caldwell is included as Additional Insured, per written contract. CALDWELL CITY CLERK NOV 13 2024 liteJB IZIZI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 AUTHORIZED REPRESENTATIVE Q, Caldwell ID 83606 1/Vu J r s w^ t"""'ry 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD