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HomeMy WebLinkAboutIdaho Grading & TruckingIDAHGRA-03 T LBE ,4`ORU- CERTIFICATE OF LIABILITY INSURANCE FDATE 2�,?;""Q"' 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 endorsements . PRODUCER License # 26480 C TACT HUB International Mountain States Limited PHONE FAX 2600 Rose Hill (Arc, No, EXV, (208) 433-1000 Atc�NZI:(866) 8984905 Suite 101 EMA� _ I Boise. ID 83705 INSURED Idaho Grading and Trucking 9180 W Barnes Dr Boise, ID 83709 Insurance COVERAGES 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 SUER POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A TMERCIAL GENERAL LIABILITY CLAIMS -MADE FA] OCCUR X S 2565357 711/2024 7/1/2025 EACH OCCURRENCE S 1,000,000 D*MAIIE TO RENTED s 100,000 IED EXP(Any onePerron) S 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L GENERAL AGGREGATE S 2,000,000 AGGREGATE LIMIT APPLIES PER.- POLICY amT LOC PRODUCTS -COMPIOPAGO $ 2,000,006 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 X BODILY INJURY Per n $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS S 2565357 7/112024 711/2025 BODILY INJURY Peracciden[ S P�te08E�RTe,nl AMAGE ad S WN p AUTOS ONLY AUTOS ONLY S A UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 X AGGREGATE S 6,000,000 EXCESS LIAB CLAIMS -MADE S 2565357 7/1/2024 7/1/2026 DED RETENTIONS B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N ANY PROPRIETORIPARTNERIEXECUTIVE FFICERIMEMBER EXCLUDED? iAandatory in NH) DESIf RIPTIdescNunder DESCRIPTION OF OPERATIONS below N I A A0254775001 711/2024 7/1/2025 X PER OTH- E L EACH ACCIDENT 1,000,000 $ E L DISEASE - EA EMPLOYE 1,000,000 $ E L DISEASE -POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 10i, Additional Remarks Schedule, may be attached if more space is required) 11KLbWFI L I:,,Y C CLERK For Auto Liability, the following form applies: CA7809 4-24 - Blanket Additional Insured - Waiver of Subrogation For General Liability, the following form(s) apply:�� CG798810-23 - Blanket Additional Insureds • Primary Insurance ` t. 202t CG7300 10-23 - Waiver of Transfer of Rights of Recovery CG2503 5-09 - Designated Construction Projects General Aggregate Limit For Workers Compensation, the following form applies: WC000313 04-84 - Waiver of Our Right to Recover from Others Endorsement City of Caldwell 411 Blain St, PO Box 1179 Caldwell, ID 83605 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 �k� ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD