HomeMy WebLinkAboutRice-Fergus-Miller Inc.RICEINC-01 CONIR
AC'O/lO' CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYYI
2/12/2024
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(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION 1S 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 c21JACT Krystal Edwards
Fournier AHJZNo, Ext : (253) 330-8965 FAX
No): (253) 473-5363
5712 Orchard St. W.
University Place, WA 98467 Mss. k stale fournierinsurance.com
INSURED
Rice -Fergus -Miller, Inc.
276 5th Street, Suite 100
Bremerton, WA 98337
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
LTRA
TYPE OF INSURANCE
ADDL
SUBR VINDPOLICY
NUMBER
POLICY EFF
POLICY EXP
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I OCCUR
AGGREGATE LIMIT APPLIES PER
POLICY ❑ PEA LOC
OTHER:
X
BZA55364881
3/112024
311120 55
EACH OCCURRENCE
$ 2,000,000
DAMAGE TO RENTED
$
MED EXP (Any one rson
$ 15,000
PERSONAL & ADV INJURY
$ 2,000,000
EN'L
GENERAL AGGREGATE
S 4,000,000
PRODUCTS -COMP/OP AGG
4,000,006
S
B
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUUTNO�SyryNEp
AUTOS ONLY AUTOS ONLY
X
BAS55354881
3/112024
3/1/2026
COMBINED SINGLE LIMIT
S 1,000,000
BODILY INJURY Perperson)
S
BODILY INJURY Wereeadent
S
PA(aa aT nI AMAGE
S
C
X
UMBRELLA LIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
X
US056364881
3/1/2024
311/2025
EACH OCCURRENCE
S 4,000,000
AGGREGATE
S
DED I X I RETENTION $ 10,000
4,000,000
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
AFFlERRIORECUTIVE'
KanCIrNMELU
atoyNH
It es. describe under
DESCRIPTION OF OPERATIONS below
NIA
PER OTH•
TA LITE ER
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYE
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES `ACORD 101 Additional Remarks Schedule, may be attached If morespace Is required)
City of Caldwell Fire Department: See attached form SP7696 for Additional Insured wording.; Auto aditional insured form AC8QNF9bVfd1fional
insured form CU6002. CALDWELL CITY CLERK
FEB 10 2024
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Caldwell Fire Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ty P ACCORDANCE WITH THE POLICY PROVISIONS.
310 S 7th Avenue
Caldwell, ID 83605
AUTHORIZED REPRESENTATIVE
i
ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved.
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