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HomeMy WebLinkAboutWilliam & Kerrie WaltersL.� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 03/14/2024 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poficy(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 endorsem n PRODUCER r I r l;Ltn. Western Community Ins Co PO Box 4EAS +�;�� 3 �Qi �I Pocatello, ID 8M05-484I8 NAME:JASON HOODENPYLE P PHONE 208_ 00_ FAX VC'No E-MAIL ADDRE88: INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: western Community Ins CO 39519 INSURED E F 1 I IIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIII WALTERS WILLIAM L INSURERS: INSURER C: INSURER0: WALTERS KERRI E L 1840 E MONJEREE4 DR BOISE ID Et�� INSURERE. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: AF0870 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 INSURANCEBR POLICY NUMBER POLICY E POLICY EXPJDWY LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE DIOCCUR N N 8J542201 3/17/24 3/17/25 EACH OCCURRENCE S 1,000,000 UAMAUL PREMISES Ea occurrence) S 100,000 MED EXP (Any on+ person) S 5,000 PERSONAL BAOVINJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN L A(3(3REGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMPIOP AGO s INCLUDED S AUTOMOBILE LIABILITY ANY AUTO ALL CI MVED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS I L LIMIT Ea aaM ri S BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE er acc den s s UMBRELLA LIAR EXCESS LIAB OCCUR EACH OCCURRENCE s HCLAIMS-MADE AGGREGATE S DED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE ❑ R/M OFFICEEMBER EXCLUDED? (Mandatary in NH) I►yes, describe under DESCRIPTION OF OPERATIONS below N! A YVC STATU- OTH. E L EACH ACCIDENT S E L DISEASE - EA EMPLOYE S E L DISEASE - POL CY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE$ (Attach ACORD 101, Additional Remarks Schedule, 0 more space Is required) Re: 4321 Aviation Way #257 CERTIFICATE HOLDER CONCKI 1 ATInIU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I 11141 I I I I I I I I I 11 I IFilI I I I III 11 111 11 11 111ll ACCORDANCE WITH THE POLICY PROVISIONS. 111 1 11 Hill C TY OF CALDWELL AUTHORIZED REPRESENTATIVE 4 14 E LINDEN STT CALDWELL ID 83605 �11 ACORD 25 (201OM5) Q 1888-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD