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HomeMy WebLinkAboutTerraco Excavation and Demo (3)AC4QRv CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 164� 1 8/23/2024 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 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 CONTANAME: CT HARR I S KERRY -- AA KTR Western Community Ins Co IAIC. No. Exll: 208-45 -1604 WFAc No): 208-232-3608 PO Box 4848 E-MAIL ADDRESS: Pocatello, ID 83205-4848 INSURERS AFFORDING COVERAGE NAICO INSIIRFR A . Western Community Ins Co 39519 INSURED JJ { INSURER B I�IIIIIIIIIII�IIIIII�Illllll111111111111111111111111 INSURER C: TERRACO EXCAVATION & DEMO LLC 20507 FARGO RD INSURERD; WILDER ID 83676 INSURERE CnVFRAC,FA RFRTIFICdTF KIIIMRr-R• 0r%I1Q1nK1 1U11M12eo•AF087r] 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF fMWODffYYY POLICY EXP MWDDrMY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F XI OCCUR MED FRCP (Any one person) $ 10,000 KR$QNAL & ADV INJURY $ 1,000,000 A Y Y 8P997301 1/30/24 1/30/25 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS . COMPIOP AGG $ 2,000,000 POLICY X PRO• F LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea arcidentl $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED ALIT OS AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB )( OCCUR EACH OCCURRENCE S 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAO CLAIMS -MADE Y N UP997304 1/30/24 1/30/25 DED I A RETENTIONS 10 000 $ WORKERS COMPENSATION VUC STATU- OTH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERtMEMBER EXCLUDED? LJ (Mandatory in NH) Ues, describe under SGRIPTION OF OPERATIONS below N I A E L EACH ACCIDENT $ E L DISEASE . EA EMPLOYEE $ E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Refer to IDCG 236(03/07) Exclusion of Coverage for Structures Built Outside of Designated Areas Endorsement - Copy attached. LID 24-1 AND 24-2 l7 i►l11 A19;111-♦Ia L�JR 1yil IIII 111111 181111111111 11I111I IIIIIII��1111 I1111IIIII CITY OF CALDWELL 2055 S 6TH AVE CA DWELL 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 � ^� J AGUKU Z5 (LUIUIUS) ©1938-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD