HomeMy WebLinkAboutDestination Caldwell (4)• —;IM"N DESTCAL-01 KPATTERSQN
A� 0" CERTIFICATE OF LIABILITY INSURANCE DATE131202YYYYJ
5l312024
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
The Hartwell Corporation
PO Box 400
Caldwell, ID 83606
INSURED
Destination Caldwell Inc
119 S 7th Ave
Caldwell, ID 83605
E,dI: (208) 459-1678 _
natal ie@thehartwel lcorp,
INSURERIS} AFFORDING C
A : Western National Mutua
e : SIF Idaho Workers Corn
5377
COVERAGES CERTIFICATE NUMBER: REVI IQN BER:
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 TYPE OF INSURANCE INSO ADDL SUIR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS -MADE [X] OCCUR X �CPP 1334672 312812024 312812025 DAMAGE TO RENTED 1 $ 300,000
1
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGA'
X
POLICY EljPE �X LOC
MEDICAL IS EXCLUDED ON POLI
PRODUCTS - COMPIC
EBL 1 MIL EA ER
OTHER'
AUTOMOBILE LIABILITY
COMBINED SINGLE L
.E& eucimaM'
AUTO
CPP 1335004
3/2812024
312812025 ' BODILY INJURY (Pert
IANY
OWNED SCHEDULED
AUTOS ONLY AUTNOpSy�NEp
BODILY INJURY ;Per i
X AUTOS ONLY X A�TO& ONLY
I i Per accdenDAMAGE
A X UMBRELLA LIAB X OCCUR
EACH OCCURRENCE
$ 1,000,000
EXCESS LIAB CLAIMS -MADE
UMB1055818 3128/2024
3/28/2026
AGGREGATE
S 1,000,000
DED X RETENTION $ 1 0,000
$
B WORKERS COMPENSATION
X PER OTH-
T�
AND EMPLOYERS' LIABILITY YIN
659782 9/1/2023
9/1/2024
500,p00
ANY PROPRIETORIPARTNERIEXECUTIVE ❑
NIA
e..
E.L. EACH ACCIDENT
$
p ggEE
(OlulFandatory In NHS EXCLUDED?
500,000
It yes, describe under
E.L. DISEASE - EA EMPLOYE
$
500,000
DESCRIPTION OF OPERATIONS below
„_-
E.L. DISEASE -POLICY LIMIT
$
A Liquor Liability
CPP 1334672 3/28/2024
3/28/2025
Aggregate
2,000,000
DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES IACONO 101, Additional Remarks Schedule, may be attached If more space is required)
City of Caldwell Is named additional Insured.
CERTIFICATE HOLDER
CANCELLATION
City of Caldwell
PO Box 1179
Caldwell, ID 83606
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
ACORD 25 (2016103)
Ic31988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD