HomeMy WebLinkAboutTerraco Excavation and Demo (2)CERTIFICATE OF LIABILITY INSURANCE DATE IMMlOD1YYYY)
07/30/2024
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 pollcy(fes) 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 a .
PRODUCER CON . Kerry J Harris - AA
Kerry J Hams Insurance Inc. PHONE .ExtP 208-459.1604 _ Nel. 208-459.1664
ADDRESS; kharris@idfbins.com
4122 E Cleveland Blvd _ INSURERS )AFFORDING COVERAGE NAICd
Caldwell ID 83605 INSURER A: Western Community Insurance Company ! 39519
INSURED INSURER B :
Tenaco Excavation & Demo, LLC rue
A
INSURER D
26025 Red Top Rd INSURER E:
Wilder ID 83676 INSURER F .
DVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L STED 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.
R TYPE OF INSURANCE AODL SUaR{ POLICY NUMaER POLICY EFF POLICY EXP LIMITS
X COMMERCIALGENERALLIABILITY
EACH OCCURRENCE S 1,000,000
CLAIMS -MADE X OCCUR HrTEO
PR MISES Eaomuran ! S 100,000
GENL AGGREGATE LIMIT APPLIES PER.
91 POLICY I--Y-� PRO-
JECT LOC
f AUTOMOBILE LIABILITY
t
ANYAUTO
AX
OWNED AUTOS ONLY
AUTOSULED
HIRED
AUTOS ONLY
NON-OWNEO
AUTOS ONLY
X I U♦SIBRELLALLAB IX OCCUR
A F EXCESS LL42 1..,..—
Y I N 8P997301
N I N � 08-259973-05
N I N I UP997304
ce
MED EXP (Any one person) IS 10,000
01/30/2024 01/3012025 I PERSONAL E ADV INJURY ' s 1,000,006
I PRODUCTS-COMPIOPAGO S_ 2,000,000
S
COMBINED SINGLE LIMIT i S 300,000
I tEa �r@451�
BODILY INJURY (Per person) S
01/30/2024 OVl W2025 FaoDILy INJURY [Per aradenlJ S
PROpERTYDAMAGE S ---
PQr_accidenl _
is
07/10/2024 1 01 /30/2025
EACH
II
I DEO I X I RETENTION 10.000 I I I I 5
WORKERS COMPENSATION YIN `PEAT - E - I —�OTH.
AND EMPLOYERS' LIABILITY
A OF CEANYPRORIMEMBERPEXCLU0ED7 ECUTIVE ❑ NIA I E.L. EACH ACCIDENT $
(Mandatary In NH) If yes, desalbe under E.L. DISEASE • EA EMPLOYEE S
DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addldonal Remarks Schedule, may be attached 11 more space is nqulred) RrIclaV'1) M
Refer to IDCG 236(03107) Exclusion of Coverage for Structures Built Outside of Designated Areas Endorsement -Copy Attached ^AU)VJELL L" iY CL
5EP ; 1 2024,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CITY OF CALDWELL ACCORDANCE WITH THE POLICY PROVISIONS,
205 S 6TH AVE AUTHORIZED REPRESENTATIVE
CALDWELL ID 83605 y r/�
1-
0 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD