HomeMy WebLinkAboutKnife River Corporation (2)ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE05115120241202alYYYY)
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 poficy(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
MARSH USA LLC
333 South 71h Street, Suite 14W
Minneapolis, MN 55402-2400
CONTACT
NAME: Marsh I U.S. Operations
PHONE W&966-4664 IM Not: 212-948.5382
E-MAIL
ADDRESS: Minnea Iis.CertRe ues marsh.com
INSURERS AFFORDING COVERAGE
NAIC N
INSURER A: Libegy Mutual Fire Ins C9
23035
CN103060364-MTWES-GAWX-23-
INSURED
Knife River Corporation - Mountain Wes[
INSURER B : Berkshire HathmrLa S 'al Insurance
22276
INSURER C :
5450 W Gowen Road
Boise, ID 83709
INSURER D
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: CHI-010503200-02 REVISION NUMBER:
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
ADOL
UBR
POLICY NUMBER
POLICY EFF
MMlDDrYYYY
POLICY EXP
MMIDDlYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE M OCCUR
TB2641446115023
06/01/2023
01/01/2025
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL 8 ADV INJURY
$ 1RIX1,000
GENT
GENERAL AGGREGATE
$ 2.000,000
AGGREGATE LIMIT APPLIES PER:
POLICY JECT 0 LOC
PRODUCTS - COMPIOP AGG
$ 2,000,000
$
OTHER
A
AUTOMOBILE
LIABILITY
AS2641446115033
0610112023
0001/2025
EOaMINdem)INGLELIMIT
$ 5,000,004
X
BODILY INJURY (Per person)
S
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY Weir accident)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
B
UMBRELLALIAB
X
OCCUR
47XSF32875101
06/0112023
01171r2025
EACH OCCURRENCE
$ 5,OD0,000
AGGREGATE
$ 5.000,000
X
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORlPARTNERrEXECUTIVE
OFFICERIMEMBEREXCLUDED? FN]
NIA
WA264D4461 15013 (AOS)
WC2641446115064 MN
( )
06/01/2023
06/01/2024
01/01/2025
OM112025
X SPER
TATUTE I ERH
E,L EACH ACCIDENT
$ 1,000,000
E.L DISEASE -EA EMPLOYEE
$ 1,000,000
(Mandatory In NH)
II yes. describe under
DESCRIPTION OF OPERATIONS below
E L DISEASE - POLICY LIMIT
$ 1,000.000
A
General liab. Excess
TL2641446115043
0610112023
011OW025
Each Occ 1 Pers. 8 Adv, Injury
4,000,000
GL Agg.1 Prod. -Camp Ops Ag
4,000,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
City Of Caldwell islare included as additional insured under general liability where required by wrillen contract and does not Include professional liability coverage Blanket Additional Insured for Automobile Liability
included where required by written contract. Excess liability applies to general liability, products and completed operations, automobile liability, and employers liability Excess Liability is follow form of primary sublet
to policy terms, conditions and exclusions.
lh ;q:Jll2 LaY411 W jL1IR13i
City Of Caldwell
621 Cleveland Blvd
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
of Marsh USA LLC
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD