Loading...
HomeMy WebLinkAboutInternational Line BuildersA� o® CERTIFICATE OF LIABILITY INSURANCE olro912n024 BATE TYYYY) az4 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 MARSH USA LLC 333 South 7th Street, Suite 1400 CONTACT Marsh I U.S Operations PHONE 866 gfi6 4664 FAX, Nn : 212-948.5382 ADoRIE , MDU.CeNRequest@marsh.com Minneapolis MN 55402.2400 INSURERS AFFORDING COVERAGE NAIC p INSURER A. Liberty Mutual Fire Ins Co 23035 CH102299309-INTT•GAWX-24-25 INSURED International lane Builders, Inc. INSURER B: Associated Electric & Gas Ins Services Lld 3190004 INSURER C - ibedy Insurance Corporation 42404 19022 WSW Cipole Road Tualatin, OR 97062 INSURER 0 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-010467968-04 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, INTR TYPE OF INSURANCE ADPL SUER POLICY NUMBER MWDDYEFF NYYY MWDDIYYXYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX I OCCUR TB2.641-445905-324 01101/2024 OW112025 EACH OCCURRENCE S 2,000.000 DAMAGE TO RITEI PREMISES EaEoccurrence S 1,000,000 MED EXP (Any,one person) S 10,000 PERSONAL & ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT- LOC GENERAL AGGREGATE 5 4,000.000 PRODUCTS-COMPIOP AGG S 4,000.000 $ OTHER: A AUTOMOBILE LIABILITY A 2-641-005097-054 0141112024 01101I2025 GOMBINEb SINGLE LIMIT Ea acci nt $ 2,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOSHIRED IR BODILY INJURY (Per aoddenl) S PROPERTY DAMAGE Per accitlenl $ X NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR XL5063413P 01p1I2024 0110112025 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DEO RETENTIONS S C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFCEORIMEMB REXCLUDED?ECUTIVE rAj� (Mandatory In NH) NIA WA7.64D-005097-024(Reguated) wA7.64Q005097-014 AOS ( ' "IncludeS'Stop-Gap " IM112024 01A1n024 01,01025 01101n025 X PER OTH• STATUTE ER E.L. EACH ACCIDENT $ 1,DO0,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 1T yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ 1,000,OOD DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It murs space is required) Re: All Projects City of Caldwell icJare included as additional insured under general liability per the attached CG 2010 and CG 2D37 endorsements and does not include professional liability coverage Blanket Additional Insured for Automobile Liability is included per attached designated insured Endorsement CA 20 48. Excess liability applies io general liability, products and completed operations, automobile liability, and employers liability. City of Caldwel tare included as Additional Insured per coverage form 8100 attached with regard to Excess Liability City of Caldwell 621 Cleveland Blvd Caldwell, ID 83605 LeS,liLeL�R1S_l�ie1� 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 of Marsh USA LLC Q 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD