HomeMy WebLinkAboutBoise Valley Monument5015VAL-03
CERTIFICATE OF LIABILITY INSURANCE DATEIMMIODNYYY)
4/19/2024
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(ies) must have ADDITIONAL INSURED provisions or he 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
C TACT Natalie Huntley
The Hartwell Corporation
PO Box 400
Caldwell, ID 83606
PHONE FAX
Arc, Ne, E=I : (208) 459-1678 JA1C, No
E-MAIL , natalie@thehartwellCorp.com
INSURERS AFFORDING COVERAGE
NAIC M
INSURERA:The Cincinnati Indemnity Co
23280
INSURED
INSURER B : SI F Idaho Workers Compensation
36129
INSURER C
Boise Valley Monument Co
INSURER D :
PO Box 474
Caldwell, ID 83606
INSURER E
INSURER F :
COVERAGFS CFRTIFICATF NtIMRFR• RFVI_CIAIJ IJI1110R9=10•
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 INSURANCE
ADOL
SUER
POLICY NUMBER
POLICY EFF
POLICY EXPLTR
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS-MA:,E OCCUR
X
EPP 0054218
1/15/2024
111512026
EACH OCCURRENCE
$ 11000,000
DAMAGE TO RENTED
$ 500,000
MED EXP gAny one person
S 10,000
PERSONAL & ADV INJURY
S 110001000
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY ❑ jrcoT LOC
OTHER
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMPIOP AGG
S 2,000,000
A
AUTOMOBILE LIABILITY
ANY AUTO
OWNED X SCHEDULED
AUTOS ONLY AUTOS
X AUTOS ONLY X AUTOS ONLY
EBA 0054218
1/1512024
1/15/2026
COMBINED SINGLE LIMIT
BODILY INJURY Perperson)
$ 1,000,000
S
BODILY
BODILY INJURY Peramdent
$
Per acEcid� DAMAGE
$
A
X
UMBRELLA LIAB
EXCESS LIAR
X
OCCUR
ICLAIMS-MADE
EPP 0064218
1/1512024
111512026
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
❑ED I I RETENTION $
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANFICERIM IIMgO@EXCLUDED? ECUTIVE ❑
(Mandatory in NHI
It yes. describe under
DESCRIPTION OF OPERATIONS below
NIA
541653
41112024
411 /2025
PER TE OTH-
E.L. EACH ACCIDENT
600,000
E.L DISEASE - EA EMPLOYE
$ 500,000
E-L- DISEASE - POLICY LIMIT
600,000
Cr nT,
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) GALOWELL l,-1Y �LFRF
Certificate Holder Is listed as additional insured per attached form.
APR - ''J 20U
City of Caldwell
PO Box 1179
Caldwell, ID 83606
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
t'. T3d . .
ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD