HomeMy WebLinkAboutBesst Inc.ACvRO) CERTIFICATE OF LIABILITY INSURANCE DATE IMWDDIYYYYI
05/09/2025
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 endorsement(s).
¢RooucER
Ted Hamm Insurance Agency
1603 Park Street
Paso Robles, CA 93446
License #: OL89671
Shannon Swensson
(805)238-1818
INSURERL AFFORDING COVERAGE
INSURED INSURERS: AmGUARD Insurance Company
Besst, Inc
50 Tiburon St INSURERC: State Compensation Insurance Fund
7 INSURER D :
San Rafael, CA 94901-4762 INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 95951337-0 REVISION NUMBER- i
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 CONTRACTOR 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.
ILTRR
TYPE OF INSURANCE
1=
SUER
POLICY NUMBER
MPOLICY
DIOYfYYYY
MMIDOIIYEXP
YYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE XJ OCCUR
_ ...
AGGREGATE LIMIT APPLIES PER
POLICY _ ECOT L LOC
OTHER;
Y
Y
PSM0039972506
06/0112024
06/01/2025
EACH OCCURRENCE
s 2,000,000
PREMISES Ea occurrence
S 250,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L
X
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMPIOP AGG
$ 2,000,000
E
IS
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY X AUTOS
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
Y
Y
BEAUS49415
06/2312024
06/2312025
Ea accident SINGLE LIMIT
$ 1,000,000
BODILY INJURY IPer person)
$
BODILY INJURY Per accident
( )
$
X
PROPERTY DAMAGE
Per accident
S
S
A
X
UMBRELLA LIAO
EXCESS LIAR
X OCCUR
CLAIMS -MADE
PSM0039972511
06/0112024
06/0112026
EACHOCCURRENCE
S 2,000,000
$ 2,000,000
$
AGGREGATE
DED I I RETENTIONS
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED? El
(Myandatory In NH)
DESCRIP ON OF OPERATIONS below
N I A
Y
9019749-24
o7rz712oza
0712712025
PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
$ 11000,000
E.L. DISEASE - EA EMPLOYE
$ 11000000
$ 1,0001000
E.L. DISEASE - POLICY LIMIT
A
Professional Liabili
PSM0039972506
06/0112024
06/01/2025
Limit
2,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) I V -U u sI
Certificate holder is recognized as additional insured. L. C1 I Y CLERK
MAY 2 0 2025
u rzm I1ri%,m I C nvLUcrt I:ANUrl-L.A I IVN
City of Caldwell, ID
205 S. 6th Avenue
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
ACORD 25 (2016/03)
�91
TION. All rights rasarved.
The ACORD name and logo are registered marks of ACORD Printed by SMS on 05/09/2025 at OS.18AM