HomeMy WebLinkAboutEvangreen TechnologiesacoRo® CERTIFICATE OF LIABILITY INSURANCE
DA1E(MM/DD/YYM
12/3012024
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
CONTACT K lie Whetton
NAME: y
Post Insurance Services, Inc.
PHONE (208) 336.5600 FAX (208) 344-0651
AIC No Ext : 11, N,I:
P.O. Box 893
F-MAIL s: kwhetton@poslins.com
INSURER(SiAFFORDING COVERAGE
NAtC 0
Meridian ID 83680-0893
INSURERA: Owners insurance Company
32700
INSURED
INSURER B : Auto Owners Insurance
18988
Evengreen Technology Inc
INSURER C : Idaho Slate Insurance Fund
36129
401 N Main Street
INSURER D : Lloyd's of London
15792
INSURER E :
Meridian ID 83642
INSURER F :
COVERAGES CERTIFICATE NUMBER: 25126 REVISION NLIMRFR-
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 CONTRACTOR 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.
IPOLICY
LTR
TYPE OF INSURANCE
INSO
WVD
POLICY NUMBER
MMIDDYIWYY
EXP
MMIDDIYYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
EACH OCCURRENCE
$ 1.000.000
PREMISES Ea occurrence
S 300,000
X
MED EXP (Any one person)
S 10,000
55373 - Blkl Al, 55091 - WOS
PERSONAL & ADV INJURY
S 1,000,000
A
Y
57951156
11/08/2024
11108/2025
7GEN'LAGGREGATE LIMIT APPLIES PER:
POLICY N PRO ❑
JEC7 LOC
GENERAL AGGREGATE
S 2,000,000
PRODUCTS - COMP/OP AGO
S 2,000.000
Hired Auto & Non -Owned
s 1,000,000
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
S 1,000.000
X ANY AUTO
BODILY INJURY (Per person)
S
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
5095115600
11 M812024
11/08/2025
BODILY INJURY (Per accident)
S
HIRED NON -OWNED
AUTOS ONLY AUTOSONLY
PROPERTY DAMAGE
P.?..den[
S
X 58504 -AI X 58583 - WOS
Medical payments
S 5,000
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
S 4.000.000
AGGREGATE
$ 4,000,000
B
EXCESSLIIAO
CLAIMS -MADE
5095115601
11/08/2024
11108/2025
X DED RETENTION $ 0
S
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORlPARTNERIEXECUIIVE
OFFICEWMEMBER EXCLUDED?
(Mandatory In NH)
tI yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
655387
01/01/2025
01/01/2026
/'� STATUTE ERH
E.L. EACH ACCIDENT
S 1,000,000
E.L. DISEASE - EA EMPLOYEE
S 1,000,000
E.L. DISEASE - POLICY LIMIT
$ I;Ot7IT,l7Q0
Errors and Omissions
Professional Liability
$1,000.000
D
ANE215802224
0212812024
0212812025
Data Breach
$50.000
Network Security & Privacyl
$100,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlonal Remarks Schedule, maybe attached if more space Is required)
The City of Caldwell is included as Additional Insured, per written contract. CALDWELL CITY CLERK
JAN 0 2 2024
UAW; LLLAI IUN
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 1 l 1 a
Caldwell ID 536C5 C `' 11Tu ulha"+ -te
i�) 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD