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`� CERTIFICATE OF LIABILITY INSURANCE 61;'2025
DATE (MMIDDIYYYY)
5r222o24
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 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 endorsement(s).
PRODUCER Lockton Companies, LLC
p
500 W. Monroe, Ste, 3400
Chicago IL 60661
(312)669-6900
CONTACT
NAME,
PHONE FAx
Arc No
-NAIL
ADDRESS:
midwestcertificates4locklon.com
INSURERS AFFORDING COVERAGE
NAIC 11
INSURER A:LM Insurance
33600
INSURED Badger Dayhghting Corp
1505571 4910 N CR 900E
-Corporation
INSURER 13: Libe Mutual Fire Insurance Company
23035
INSURER C : Certain Underwriters at Lloyd's, London
Brownsburg, IN 46112
INSURER D: Ironshore Specialty Insurance Co
25445
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 20021929 REVISION NUMBER: XXXXXXX
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
LTR
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
POLICY EFF
MMMO(MMIDDNYYYI
POLICY EXP
LIMITS
A
TMERCtAL GENERAL LIABILITY
CLAIMS-MAOE X OCCUR
AGGREGATE LIMIT APPLIES PER
POLICY C ECT LOC
OTHER
Y
Y
TB5-641-445966-024
6r'1?2024
61'2025
EACH OCCURRENCE
s 2000000
PREMISES iEa occurrencel,
$ 300,000
MED EXP (Any one person)
S 25,000
PERSONAL & ADV INJURY
S 2,000,000
GEN'L
GENERAL AGGREGATE
E 4,000,000
PRODUCTS - COMPIOP AGG
S 4,000,000
S
B
AUTOMOBILE LIABILITY
ANY AUTO
OWNED AUTOREDS ONLY AUTOSSCHEDULED
AUTOS ONLY AUTOS ONLNON-OWNEY
I
y
Y
AS2-641-045966-014
6?1+2024
6r 1:2025
COMBINED SINGLE LIMIT
Ea acddent
$ 2A0,000
BODILY INJURY (Per person)
S XXXXXXX
BODILY INJURY (Per acadent)
S XXXXXXX
PReOacEaid DAMAGE
S XXXXXXX
s XXXXXXX
C
C
X
UMBRELLA LIAR
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
Y
Y
B0621CBADG000324
B0621CBADG000424
6;1'2024
6, '2024
l
6r 1 2025
C 1.'2025
EACH OCCURRENCE
S 8,000,000
AGGREGATE
S 8,000,000
DED I I RETENTIONS
S XXXXXXX
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LiAMLITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED? ❑N
(Mandatory In NH)
It Yes, describe under
DESCRIPTION OF OPERATIONS below
N!A
Y
WA5-64D-445966-034 (AOS)
WC5-641445966-054(WI)
6;1'2024
6;1,2024
6r P2025
6i1'2025
PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
$ 1 000000
E.L. DISEASE - EA EMPLOYEE
S 1 000 000
E.L. DISEASE - POLICY LIMIT
S 1,000000
D
Pollution Legal Liability
Y
Y
ISPILLSCAK92003
6r1r2023
&1'2026
$IOMOcc.:$IOMAgg
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Umbrella and Excess policies are placed by BFL Canada Risk and Insurance Services Inc, policies provide worldwide coverage territory and jurisdiction unless otherwise
excluded. SEE PAGE 2
JAN 17 2024
CERTIFICATE HOLDER CANCELLATION See Attachments
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20021829
THE EXPIRATION DATE THEREOF, NOTICE
WILL BE DELIVERED IN
City of Caldwell
ACCORDANCE WITH THE POLICY PROVISIONS.
621 CLEVELAND BLVD.,
_
AUTHORIZED REPRE ENTATIYE -.�' ." I
�_�- �
.'"
}
CALDWELL ID 83605
ACORD 25 (2016103)
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