HomeMy WebLinkAboutMichael & Darlene CorniaACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
02/07/2024
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, subkc.t to-Mp terms and conditions of the policy, certain pollcies may require an endorsement. A statement on
this certificate does not conferN"6th0,,qap#ficate holder In Ileu of such endorsements .
PRODUCER CONTACT
ONACT Keefan Caron
2024 �N�.90. 208-618-2085 �yO 1 208-375-2180
Keefan Caron 3 EMAIL
'
1250 S Allante Ave INSURERS AFFORDING COVERAGE NAIC
Boise ID 83709 INSURER A: Western Community Insurance Company 39519
INSURED
INSURER_B :
Michael Comla INSURER C :
Darlene Comia INSURE_R_D :
PO Box 871781 INSURER E :
WaSilla AK 99687 1 INSURER F :
COVERAGES CFRTIFICATF NtiMRFR- RRVICIrkk1 AIIIMgFD•
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 imima ADOL SUBR POLICY kUMBER IMMPOLICYEXPI,
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE n OCCUR
N
N
8G208801
02/20/2024
02/20/2025
EACH OCCURRENCE
S 1,000,000
P_I�MIY4ES Lk8 occurrent
$ 1DO,D00
MED EXP An ne oroan
i 5,000
PERSONAL A ADV INJURY
S 1,000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY ❑ JEGT L-1 LOC
OTHER:
GENERALAGGREGATE
$ 2,000,000
PRODUCTS - COMPIOP AGG
s INCLUDED
S
A
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED AUSCHTOSEDULED
AUTOS ONLY
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINEDISINGLELIMIT
(Ea okr
$
BODILY INJURY (Per person)
S
BODILY INJURY (Per accident)
S
PROPERTYDAMAGE
(per p9odenl)
S
S
A
UMBRELLALIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACHOCCURRENCE
S
AGGREGATE
S
DED RETENTION
S
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTlVE
OFFICERIMEMBEREXCLUDED?
(Mandatory In NH)
!f yes desalbe under
DESCRIPTION OF OPERATIONS below
NIA
PER OTH-
STATUTE ER
$
S
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more apace Is required)
4321 Aviation Way #129
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Caldwell Airport
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Caldwell
AUTHORIZED REPRESENTATIVE
4814 E. Linden Road
Caldwell ID 83605
_
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