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Home My WebLink AboutForsgren Associates IncFORSASS-01 ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODNYYV) $/1312024 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 endorsemenll(s). PRODUCER The Hartwell Corporation PO Box 400 Caldwell, ID 83606 INSURED Forsgren Associates Inc 370 East 500 South Suite 102 Salt Lake City, UT 84111 _ C_ Q [y CT Annie Nguyen �HONrExec E� : (208) 459-1678 FAX, Nap: — E Annie thehartwellcorp.com _ _ ... INSURER�Sj AFFORDING DBVERJIGE- INSURER A: Sentinel Insurance Co Limited 11000 INSURERS: Hartford Accident _& Indemnity 22357 1 INSURER C : Hartford Casualty Ins Co _ 29424 INSURER D . Hartford Insurance -Company _ ER E XL $QeCla Insurance Co. &NSURE.R-.F 37885 OVERAGES CERTIFICATE NUMBER: REVISION NUUMBER: 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. ,R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLL Y EFF POLICY EXP _ LIMIT _ Am .'4Vy f7 . 7 "MERCtAL GENERAL LIABILITY 2,000,0 EACH OCCURRENCE 1 CLAIMS -MADE [X OCCUR X 34SBWAC5760 211l2024 211/2025 DAMAGE TO RENTEDi 1,000,0 �J GEN'L X ! i ME EX JAnA2-0Wr*gnj PERSONAL & ADV INS ji RY GENERAL AGGREGATE PR ITiQaWajSfiG # _ . • ",' * 2,000,1 AGGREGATE LIMIT APPLIES PER POLICY J jNT LOC uslness Liability General Aggre THERE 4,000,1 S i # 4,000,1 # B AUTOMOBILE 1 X I L II X LIABILITY I ANY AUTO X OWNED SCHEDULED AUTOS ONLY X I AUTOS A!JTQS ONLY r AUTO ONCY '34UEGAC5233 I 34XHGXR7660 2/112024 21112025 _ M�BINEDtSINGLELIMIT i 1,000,1 1 BODILY INJURY 1Perpwwo IA BODILY BODILY INJURY I Per wti nil r S MAGE Per accident C X UMBRELLA LIAB X OCCUR DED EXCESS XIARETENTIONS G�110,0001 EACH OCCURRENitE 5,000,1 21112024 j 21112025 (;QREG O Aggr 5,000.1 P U WORKERS COMPENSATION I X.- itmr I LOTH AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERlEXECUTIVE Y.. 134WEGAVOD3L .L OT 2/112024 2/1/2025 E L. EACH ACCIDENT 1,00001 OFFICERIM EMBER EXCLUDED? I NIA I(M�andatory In NHI 1'000 01 E L DISEASE - EA EMPLOYE _ If es describe under .g PT10v 0FOPERATICNS belax _ _ EL DIS-ASL- Y LIMIT 1,000,01 E Professional Liabili IDPR6021627 12/1/2023 121112024 Each Claim 5,000,01 E Retro Date 11111961 I I IDPR5021627 12/1/2023 12/112024 Aggregate 5,000,01 DESCRIPTION OF OPERATIONS; LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule may be attached If more space Is required) AECEIVFD BY CAU)WFLL G, rY CLFRK City of Caldwell 205 South 6th Ave Caldwell, ID 83605 4UG ; 2424 r,ANgELLATION 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 u ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. The ACORD name and logo are registered marks of ACORD All rights reserved.