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
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