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HomeMy WebLinkAboutKnife River CorporationA I® 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 /} (91988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD