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HomeMy WebLinkAboutJamie WintersJAMIWIN-01 DATE (MMroDlYYYY) 11►512024 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 cT Danika Blank MLA The Hartwell Corporation PO Box 400 Caldwell, ID 83606 PA C. Ext , 208 459-1678 C. No : 208 464-1114 . danika hehartweIICOr .com INSURER(Sl AFFORDING COVERAGE NAIC N iNsugEgA:TraveIqrs Indemnity Company 25658 INSURED IN B : INSURER C : Jamie Winters INSURER D, 322 Larkspur Court Caldwell, ID 83605-6293 INSLJIRER E INSURER F : CnVFRAAFC CFRTIFICATF NIIPARPR• RFVISInN NUMRFRT 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 CONTRACTOR OTHER DOCUMENT MATH 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. tLT R TYPE OF INSURANCE ADD SUB POLICY NUMBER POLICY - - - POLICY EXP nuamm LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X KTK630A148047A 1111912024 4/24/2025 Ni 1,000,000 DAM-RFAGE TO RENTED R P X LA LiS PER Yea LO OTHER 2,000,000 MP MR/ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AIUII��TEEOppS ONLY ASUOTNOpSyyN p AUTOS ONLY AU70S OY COMBINED SINGLE LIMIT BODILY iN RY Per n BODILY INJURY Per a xident P�taOPERIYnt MACE UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE S DEO I RETENTION 3 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ApFPICE PREIEMTBOE I EXCLUDED? ECUTIVE (Mantle In NH)EMPLOYE If es, describe under OF OPERATIONS beloW N! Ag.L SPTERTUTF OTH- FR EACH AL $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES `ACORD 101, Additional Remarks Schedule, may be attached B more space Is requlmdl Location: 4321 Aviation Way, Hangar#263 and #261 Caldwell Industrial Airport is an additional insured per form provided. NOV 14 2024 Caldwell Industrial Airport 4814 E Linden Street 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 ACORD 25 (2016/03) 01988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD