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Home My WebLink AboutTitanium Excavation---II I I Atxc-OZ ''4` <:>R1:X CERTIFICATE OF LIABILITY INSURANCE DATE2/5151001YYYYJ 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(les) 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 endorsements . PRODUCER CT Tamra L. Hernandez The Hartwell Corporation PO Box 400 PHONE FAx JAJC. No. Ex:: (208) 459-1678 (AIC, Ne : (208) 454-1114 .tamra thehartwellcor .com Caldwell, ID8360s INSURERS AFFORDING COVERAGE NAIC i INSURERA:The Cincinnati Insurance Comoany 10677 INSURED INSURER 8:SIF Idaho Workers Compensation 36129 INSURERC: Titanium Excavation LLC 3510 N Can Ada Rd Nampa, ID 83687 _ INSURER 0: — INSURER E : INSURER F : COVERAGES CFRTIFIrATF NIIMRPR• nmnarnu urraae015. 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. fNSRDDL LTR TYPE OF INSURANCE INSD SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CUMMS�MAOE �X OCCUR X X EPP 0706109 2/612024 216/2025 EACH OCCURRENCE 2,000,000' DIUMGETORENTED 60,000 MEDEXP (Any one araon) S 5,000 PERSONAL 8 ADV INJURY S 2,000,000 GEhrL AGGREGATE LIMIT APPLIES PER: POLICY Q LOG GENERAL AGGREGATE S 2,000,000 PRODUCTS -COMPIOPAGG S 2,000,000 OTHER: A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS EBA 0706109 2/612024 21612026 COMBINED "If F LIMITnl� f 1,000,000 BODILY INJURY (perper $ BODILY INJURY Per aeddem yy�� AUTOS ONLY ALIT O�Y Per�aE S A X UMBRELLA LIAR EXCESSLIAS X OCCUR CLAIMS -MADE EPP 0706109 21W2024 2/6/2026 EACH OCCURRENCE 5,000,000 AGGREGATE 6,000,000 DED RETENTIONS B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN F IM M EXCLUDED? aada�ory�in A li yyoos, desalbe under DESGRIno OF OPERATIONS below NIA 644234 2115l2024 2115/2025 PER OTH E.L. EACH ACCIDENT _ 1,000000 E.L. DISEASE - EA EMPLOYE 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 re DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addilfonal Remarks Schedufs, may be attached if more space Is required CALDINh L FIX Certificate Holder Is additional Insured on a primary & non contributory basis, Waiver of Subrogation applies per attached. � E B r: 7a7 City of Caldwell 821 Cleveland Blvd Caldwell, 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 '6- 1�0— ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD