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Home My WebLink AboutTerry WeymouthA� " CERTIFICATE OF LIABILITY INSURANCE °A�„9�z02 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 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 c " c PAYNTER BRETT All Western Community Ins Co PHONE 2Q8-FAX 208-232-3608 (AfC, No, Ext �M— 1 601E 44fG.HDY PO BOX 4848 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC0 Pocatello, ID 83205-4848 INSURER A: western Community Ins Co 39519 INSURED I I INSURER B : IIIIIIIIIIIIl1II1111I1I111I1IIIIIIIIIIIIIIIIIIIIII WEYMOUTH TERRY LEE INSURER C: INSURER D: 1415 MONT E V 155TA DR INSURERE: CALDWELL ID 83605 INSURER F . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:AF0670 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 SUER POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MMIDD1YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES jEai occurrence $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I ^ OCCUR MED EXP (Any one person) $ 51000 PERSONAL BADVINJURY $ 1,000,000 A i Y N 8P128goi 3/14/24 3/114/25 GENERAL AGGREGATE $ 2 0QQ 000 GEN'L AGGREGATE LIMIT APPLIES PER; $ INCLUDED PRODUCTS - COMP/OP AGG X I POLICY LlPRO- LO>w $ AUTOMOBILE LIABILITY COMB INED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE eracc=1 $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORXERS COMPENSATION VJC STATU- OTH- TORY LIMITS ER_ AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOWARTNERrEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? N f A E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ I HEM` DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (Attach ACORD tot, Additional Remarks Schedule, it more apace is required) l V CI F4K JUL ' ' 2024 Lei q.4IEIaLe1_LL7:1 IIIIIIIIII{IIIIIIIIIIIIIIIIIIIIIIFIIIIIIIIIIIIIIIIII THE CITY OF CALDWELL PO BOX 1179 CALDWELL ID 836o6 GA 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 � ^� ACORD 25 (2010105) (D1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD