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
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4/24/2025
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1,000,000
DAM-RFAGE TO RENTED
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2,000,000
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AUTOMOBILE LIABILITY
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COMBINED SINGLE LIMIT
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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