HomeMy WebLinkAboutSawtooth Land SurveyingCERTIFICATE OF LIABILITY INSURANCE DA��o9�2o21F
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 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 endorsementisj.
PRODUCER CONTACT
NAME PORTER RYAN SAS
Western Community Ins Co PA ONE 208 4 1604 FAX 2178 232-3608
PO Box 4848 E-MAIL
ADDRESS.
Pocatello, ID 83205-4848 INSURER(S) AFFORDING COVERAGE NAIC Y
INSURER A . Western Community Ins Co RECEIVES 519
INSURED f j INSURER B CALDWELL CITY
IIIIIIillllrllllrrllllrlllllllil INSURER G CLERK
SAWTOOTH LAND SURVEYING LLC I-
2030 S fN WASH NGTON AVE INSURER 0- JA_ 7 4
EMMETT ID 83617 INSURERS: rf1T r
INSURER F
COVFRAGFS CFPTIFICATF PdllMRFR• o6vISIn1I IJn1uCCo• AFM70
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER' -OD
INDICATED NOTWITHSTAND;NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTA.N, 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
INS R
LTR
j TYPE OF INSURANCE ADD!
Man
SUBR
POLICY NUMBER
POLICY EFF
I MAUDDfYYYY
POLICY EXP
MMIDDIYYYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE . 5 1,000,000
x }MMERCEAL GEERAL LIABILITY
_
PREMISES (Ea occurrence} DAMAGE -TO RENTED
$ 100,000
CLAIMS -MADE _X OCCUR
MED EXP (Asy one person} 15 5,000
A
--„ Y
Y
81-178602
1/25/24 +/25/25 PERSONAL&ADVINJURY �s 1,000,000
GENERAL AGGREGATE i $ 2,000,000
Pl'; AGGREGATE IMIT APPI IF.S PER
I
PRODUCTS - COMPlOP AGG i S 2,000,090
1 1)LICY x PRO- i ! LOC
I
! s - -
ACTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea ace-dert)
S _
iL"y r-1)TO
' BODILY INJURY (Per pemcr)
I S
ALL OVAIED S"-+=oULED
AUTGS AUTOS
BODILY INJURY (Per amoeni)
I b
PION OV.NED
HIREDA+.ia�', AUTOc
PROPERTY DAMAGE
I (Peracc,de.rl)
W
S
5
�( UMBRELLA LIAR 1( OCCUR ;
EACH OCCURRENCE
s 5,000,000
A
EXCESS HAS CLAIMS,MADE? Y N
UL i 78604 1 /25/24
t l 512'J 4GCi1 4ATE _�
� S 5 , 000 , 000
DED X RETEN" IONS 10,000---
WORKERS COMPENSATION
VYC STATU. OTH•
AND EMPLOYERS' LIABILITY YIN
„•._. TORY.LIMIT5.L I -ER -I.
ANY PROPRIETORIPARTNERIEXECUTiVE
E-L EACH ACCIDENT
15 --
CFF.:ERIMEMBER EXCLUDED NIA
❑
-1
S
�----
(Mandatory in NH)
Ifye - descnbe+.nder
L. DISEASE - EA EMPLOYEES
WE
DESCRIPTION OF OPERATIOWS below
E L DISEASE • POLICY LIMIT
IS
DESCRIPTION OF OPERATIONS +LWATIONSI VEHICLES (Attacl+ACORD 101, Additional Remarks Scredule, i( more space is leg6ired)
Refer to IDCG 236(03/07) Exclusion of Coverage for Structures Built Outside of
Designated Areas Endorsement - Copy attached.
IIIIIIIIIIIIIIIIIIIIIIiIIlllllllllllllllllllllllllil
CITY OF CALDWELL
411 BLAINE ST
CALDWELL ID 83605
-&%IY%.CLW I IVIV
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AL THURIZED REPRVSEWATIVE
^��^� +�� •.., .,.r W I VSO-zoTu ACORU CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD