HomeMy WebLinkAboutJames Breuer® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDonrvv)
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0210712024
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, sub act to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not conferr IW"orttficate holder In lieu of such endorsements .
PRODUCER "' r O"TACT Keefan Caron
Keefan Caron
1250 S Allante Ave
Boise
INSURED
ID 83709
208-618-2085 'm H„s- 208-375-2180
INSURERA: Western Community Insurance Company 39519
James Breuer INSURER C
Elizabeth Breuer INSURER O :
6 Coyote Point Rd INSURER E :
Horseshoe Bend ID 83629 INSURER F
rnvcoer_Gc rCRTIVIrATF rJIIMRPR• RFVIRInN N(IMRFR-
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 CONDIT!ON 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 PA',D CLAIMS.
INSIRI
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
POIDD1 EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
���
CLAIMS -MADE a OCCUR
AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PEo- LOC
OTHER:
N
N
SP126001
03/01/2024
03/01/2025
EACH OCCURRENCE
€T15F r1TE
R MI S Ea Irene)s
S 1.000.000
100,000
MED EXP (Any one Person _
PERSONAL & ADV INJURY
S 5,000
s 1,000,000
GEN'L
X
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS-GOMPIOPAGG
—
s INCLUDED
$
A
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ea accident
t
BODILY INJURY {Per person)
$
BODILY INJURY (Per accident)
$
_
S
PROPERTY DAMAGE
Per a ant
A
UMBRELLALIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACHOCCURRENCE
$
AGGREGATE
$
DIED I I RETENTION
$
NPDRHERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE ❑
OFFICERIM EMBER EXCLUDED?
(Mandatory In NH)
If yea describe under
DESCRIPTION OF OPERATIONS below
NIAJ
PER T"
STATUTE ER
_
$
S
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS! LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required)
5515 Aviation Way #904 & #940
Caldwell Airport
City of Caldwell
4814 E. Linden Road
Caldwell
ID 83605
{..AIMt,CLLR I IUM
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
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD