HomeMy WebLinkAboutTW AssociatesACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
�� • 3.,l i 2025 l 1: 26.-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(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 Lockton Companies, LLC WNTAUT
Three City Place Drive, Suite 900 PHONE FAX
St. Louis MO 6314 i -7081 EMAIL AIc "°
(314) 432-0500 ( RECENED BY ADDRESS:
midwesicertificates@lockton.coli AL.DWELL CITY CLERK INSURER(S) AFFORDING COVERAGE NAIC71
INSURER A: Illinois Union Insurance Company 27960
INSURED NOV �% 2�INSURER B : Federal Insurance Comparly 20281
1529552 1'W Associates, LLC L 02
dba MISCOwater INSURER e : Certain Underwriters at Lloyd's, London _
6440 Oak Canyon, Suite 150 INSURER D:
Irvine CA 92618
INSURER E :
INSURER F
COVERAGES CFRTIFICATF Nt1MRFR- 7 1 191771 aPVICInki kll IMCCI?• V V vvvvv
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.
lNSR ADOL UBR POLICY EFF -POLICY EXP
LTR . TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDOfYYYY MMDDIYYYY LIMITS
COMMERCIAL GENERAL LIABILITY
1 k
CLAIMS -MADE I X] OCCUR
Y
Y
APC G47452636 Oft l � ?t I12024 3 1,2025
EACH OCCURRENCE
PREMi f1`tSit
PREMISES_(Ea accu eccurrence_
$ ! 000 000
_
$ 1,000,000
MED EXP (Any one person)
_
$ 10,000
PERSONAL 6 ADV INJURY
$ 1000 000
GEN L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JECT � LOC
GENERAL AGGREGATE
$ 2,000,000 —
$ 2,000 0O�____-O
l
PRODUCTS - COMPlOP AGG
OTHER:
$
B
AUTOMOBILE LIABILITY
Y
Y
(24) 7362-65-82
3/ 112024
3! I l2025
EO eBeICN�Ee (SINGLE LIMIT
$ 1000 000
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident}
$
NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
(Per accident)
_XX_XXXXXHIRED
$ XXXXXXX
_
$XXXXXXX
A
X
UMBRELLA LIAR
X
OCCUR
N
N
XOO G47452(A8 001
3/ 112024
3W2025
EACH OCCURRENCE
$ 10 000 000
AGGREGATE
EXCESS LIAR
CLAIMS -MADE
$ I 0 000 000
DED X RETENTION$ lO OOO
_
$ XXXXXXX
13
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? N
N 1 A
}
(25} TITS 1 z 36 3f If2024
311f2025
X STATUTE ERH
—
E.L. EACH ACCIDENT
—
$ I ,000,000
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$ 1,000,400
$ I 0 000
(Mandatory In NH)
If sunder
DndescribeRIPTION OF OPERATIONS below
C
Professional Liability
N
N
HPL23-0446
9/30/2023
Each Claim: $2,000,000
I
r025
Aggregate: $2,000,000
Retention: $100,000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
'I HIS CERTIFICATE SUPERSEDES ALL. PREVIOUSLY ISSUL'D C E:R1 IFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LIST -EH AND THE POLICY TERMIS) REFERENCED.
City of Caldwell is included as additional insured on a Primary and Non-contributory basis if required by written contract with respect to General Liability and Automobile liability per the terms and
conditions of the policy. A waiver of subrogation applies in favor of City of Caldwell if required by written contract with respect to General Liability, Automobile Liability, and Workers' Compensation
per the terms and conditions of the policy where permitted by state law. A 30-day notice of cancellation is included if required by written contmel with respect to General Liability and Workers'
Compensation per the terms and conditions of the policy.
21182771
City of Caldwell
PO Box 1179
Caldwell, ID 83606
LMFII%,C
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 REPRESENT
e`er
ACORD 25 (2016/03)
G1
The ACORD name and logo are registered marks of ACORD
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