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Home My WebLink AboutLloyd & Lee Tennis AcademyACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMroorYYYY) 1 ik..� 07/16/2024 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 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 Deb Williams Insurance CONTACT Jacqueline Alvarado NAME: PHONNe.E ExII: (208)461-4142 FAX (208)465-6307 1112 5th Street South Nampa, ID 83651 ADDRESS: jacky@debwilliamsinsurance.com License #: 351437 INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Philadelphia Inderninty Insurance Co. INSURED Lloyd and Lee Tennis Academy INSURER 0: Lee Haskill INSURERC: 14600 Deer Flat Rd INSURER D : Nampa, ID 83686 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 00003376-51087 REVISION NUMBER: 6 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 ADDL SUER POLICY NUMBER MKODPOLICY IYYYY1 JMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY y PHPK2670194 05111/2024 06/11/2025 EACH OCCURRENCE S 11000,000 CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence S 100,000 MED EXP (Any one person) $ 0 PERSONAL & ADV INJURY 5 1,000,000 GEtrL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 3,000,000 �( POLICY JEa U LOC PRODUCTS - COMP/OP AGG S 3,000,000 S OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident S BODILY INJURY (Per person) 5 ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) 5 PROPERTY DAMAGE Per accident 5 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE 5 EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS 5 WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETORIPARTNERIEXECUTIVE I STATUTE ER E L EACH ACCIDENT S OFFICERlMEMSER EXCLUDED? ❑ NIA IMandalory in NH) E L DISEASE - EA EMPLOYEE S IT yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT 5 A Accident Med Expense PHPA160049 05/1112024 05/11/2026 Accidental Death 25,000 A Accident Med Expense PHPK2670194 05/1112024 051`1112025 Accidental Paralysl 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space is required) RL(;EW )13Y Specimen of Insurance t2lW.PVVELi {y rI FRY JUL I It: MULULK City of Caldwell P.O. Box 1179 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. 5 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by JAR on 07/16/2024 at 03:24PM