Loading...
HomeMy WebLinkAboutIdaho Specialty CoatingsIDAHSTO-01 HAN DAT13012DIYoz4 a3a►za ACORO CERTIFICATE OF LIABILITY INSURANCE 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 CO TACT Three Rivers Insurance, Inc. 910 E Cleveland Blvd Caldwell, ID 83605 PHONE FAX ArC, No, Et): (208) 454-1424 ArC, Ne :(208) 459-4730 E I INSURE S AFFORDING COVERAGE NAIC p INSURERA:Auto-Owners Insurance Company 18988 INSURED INSURER 8: Idaho State Insurance Fund 36129 INSURER C : IDAHO SPECIALTY COATINGS INSURER D : 613 Cottonwood St Caldwell, ID 83605 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER- RFVISIAN NIIMRFR- 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 ADOL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE OCCUR MED EXP (Any oneperson) $ PERSONAL 8 ADV INJURY $ GEML GENERAL AGGREGATE AGGREGATE LIMIT APPLIES PER: POLICY El jpa LOC PRODUCTS -COMPIOPAGG OTHER A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)ANY $ 1'050,000 tx , LY INJURY Perperson) AUTO 4976003401 4/2512024 4125/2025 OWNED SCHEDULED AUTOS ONLY AUUpTOppSyyyyry�yEEpp Ix 8k0DILY INJURY Per accident PPerOacaAent AMAGE 100,000 AUT650NLY AUTO50NLY Ix UMBRELLA LIAB OCCUR HCLAIMS-MADE EACH OCCURRENCE $ AGGREGATE EXCESS LIAR DIED I I RETENTION$ S. B WORKERS COMPENSATION X PPER E OTH- AND EMPLOYERS' LIABILITY AAQNN�YPROPRIIETgOERRIPARTNERIEXECUTIVE YIN (Mandatory In NH) XCLUDED7 Y N yes, describe under DESCRIPTION OF OPERATIONS below N 1 A 663069 8723I2D24 812312025 E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE 1 'Da00aa E L DISEASE - POLICY LIMIT 1 oaa 0oa ' ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may he attached If more space Is required) Insurance Requirements The awarded firm will provide the insurance coverage designated hereinafter and in future Contract Provisions and pay all costs associated with the insurance coverage. Any submitted Insurance policy or Certificate of Insurance will identify the City of Caldwell (Attn: Purchasing, P.O. Box 1179, Caldwell, ID 83606) as the Certificate Holder and the Additional Insured, and such insurance policy or Certificate of Insurance will always be kept and maintained in full force and effect during the term described In future Contract Provisions. The insurance policy or Certificate of Insurance must be filed with Purchasing before commencing work under this contract, and no insurer will cancel the policy or policies or Certificate of Insurance without first giving thirty (30) days' written notice to the awarded firm and the City of Caldwell. The awarded firm may, at any time, substitute a policy or policies or Certificate of Insurance of a qualified SEE ATTACHED ACORD 101 CAQ City of Caldwell Purchasing, t 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 4\a.- ACORD 25 (2016103) 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD