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CERTIFICATE OF LIABILITY INSURANCE
GATE {MMroOrvvvY}
05115r2o24
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
MARSH USA LLC
CONTACT
NAM E: Marsh i U.S. Operations
PHONE 86Cr96fr4664 Nu ; 212.948.5382
333 South 71h Street, Suite 1400
Minneapolis, MN 55402.2400
E-MAIL
ADDRESS: Minneapolis.CeiRequesl marsh.00m
INSURERIS) AFFORDING COVERAGE
NAIC N
INSURER A: Liberty Mutual Fire Ins Co
23035
CNI03060364-MTWES-GAWX-23-
INSURED Knife River Corporation - Mountain West
INSURER B : Berkshire Hathaway SpecialSpecil Insurance
22276
INSURER C :
5450 W Gowen Road
INSURER D
Boise, ID 83709
INSURER E;
ENSURER 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 I ADDL OR
LTR TYPE OF INSURANCE imillo Wool POLICY NUMBER
POLICY EFF POLICY EXP
filo!,O LIMITS
A
X
COMMERCIAL GENERAL LIABILITY TB2641446115023
0101025 t:ACH000URRENCE $
1,000,000
I06/01/2023
AMAi3E T{j REI.TE[l
I%7E�rrr,
CLAIMS -MADE X OCCUR
PREMISES'Ea $
1.000,000
_
I
MED EXP tAnp one personl $
10.E
_
PERSONAL BADVINJURY $
1,0OD,600
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE S
2,000,000
POLICY JECT 171 LOC
, PRODUCTS -COMPIOPAGG $
2,000,000
OTHER:
$
A AU TO MOBILE LIABILITY AS2641446115033
06I0112023
011Q1f Q5 OMBINEDSINGLELIMIT $
Ea accident _
5.6�.0�
X ANY AUTO
7,
i BODILY INJURY (Per person) S
OWNED SCHEDULED
. AUTOS ONLY AUTOS
BODILY INJURY (Per accident) S
HIRED NON -OWNED
PROPI_RT 6AMAGE $
AUTOS ONLY AUTOS ONLY
P rpopol
$
B UMBRELLALIAB X OCCUR
�
47XSF32875101
06"1'2023
01+8tf2025
EACH OCCURRENCE
$
5.000,000
AGGREGATE
$
$
5.000.000
X EXCESS LIAB CLAIMS -MADE
J.' DED RETENTION
A WORKERS COMPENSATION wA264D446115013 (AOS)
06/01/2023 0110112025 X PER U H-
AND EMPLOYERS' LIABILITY
A ANYPROPRIETORIPARTNERIEXECUTIVE Y 1 N WC2641446115064 (MN)
- - TAT" - - J�'R
06101/2024 01/0112025 E L. EACH ACCIDENT
$
1,000,000
'OFFICERIMEMBEREXCLUDED7 N r A
(Mandatory In NH)
E L. DISEASE - EA EMPLOYEE
S
1.000 ow
If yes, describe under
DESCRIPTION OF OPERATIONS below
E L. DISEASE - POLICY LIMIT
S
1.t100 t10f}
A General L-ab. Excess TL2641446115043
06/01/2023 01/0112025 Each Oct 1 Pers. 8 Adv Injury
4 000 000
GL Agg.1 Prod: Comp OpS A
4 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
City OI Caldwell Ls;are included as additional insured under general Iiabrity where required by written contract and does not include professional liability coverage. Blanket Additional insured for Automobile Liability
is included where required by written contract. Excess liabl ity applies to general liability products and completed operations automobile liability, and employers liability. EKoess Uablity is follow Corm of primary
subject to policy terms, conditions and exclusions.
5EP 2024
CERTIFICATE HOLDER CANCELLATION
Uty Oil Caldwell
621 Cleveland Blvd.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Caldwell, ID 83605
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA LLC
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ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD