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