HomeMy WebLinkAboutDestination Caldwell (5)D ESTCA L-01
'4t�� CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDD/YYYY)
8/912024
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.
IIMPORTANT: 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 endorsemenUsl.
PRODUCER
The Hartwell Corporation
PO Box 400
Caldwell, ID 83606
INSURED
Destination Caldwell Inc
119 S 7th Ave
Caldwell, ID 83605
459-1678 FAX No; 8)454-1114
INSURER A: Western National Mutual
INSURER B : SIF Idaho Workers ComF
INSURER C :
INSURER D :
INSURER E
INSURER F
CgVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
A X COMMERCIAL GENERAL UABILrTY EACH OCCURRENCE S 1,000,000
CLAIMS -MADE X OCCUR X CPP 1334672 312812024 3128/2025 AMAGE TO RENTED 300,000
ommmnak -IS
GEN'L AGGREGATE LIMIT APPLIES PER:
X� POLICY jra � LOC
MEDICAL IS EXCLUDED ON POU
A AUTOMOBILE LIABILITY
i
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
yy Ep
i X AUTOS ONLY X AUTO ONNLY
X UMBRELLA LIAR I X I OCCUR
EXCESS LIAR CLAIMS -MADE
DED X RETENTIONS 10,000
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANY PROPRIETOR/PARTNER/EXECUTIVE N I A
RJaFn' ER/MEMBER EXCLUDED?
((MManuuatary In j
H yyd�s. describe under
OESiRIPTION OF OPERATIONS bekw
PRODUCT$ - ggMR
EBL 1MIL EA EMP
COMBINED SINGLE LIMIT
iLp acciCarL
ICPP 1335004 3/2812024 312812025 BODILY INJURY [Per person)
' BODILY INJURY rear acddent�
PROPERTY DAMAGE
kPer accident,
pCGURRENC,E
LIMB 1055818 312812024 312812025 EACH ,,.. Or[ U a
LX PER C.- ' EORTFI---
91112024 911112025 E.L. EACH ACCIDENT r
E.L. DISEASE - EA EMPLOYE
E.L. DISEASE . POLY' Y LIMIT
OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101- Additional Remarks Schedule, maybe attached If more space Is required)
well is named additional insured.
City of Caldwell
PO Box 1179
Caldwell, ID 83606
CALDINELL Crn CLLIid
AUG 1 ; 2024,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AyrHORIZED REPRESENTATIVE
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