The URL can be used to link to this page

Home My WebLink AboutStaples (2).ORS® CERTIFICATE OF LIABILITY INSURANCE oaTE(MMlpDIYYYY) 2i U2025 2?2f)!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(les) 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 endorsementlsl. PRODUCER Lockton Companies 1185 Avenue of the Americas, Suite 2010 New York NY 10036 646-572-7300 INSURED Staples,Inc 1492368 Attn: Manuel Figueroa 500 Staples Drive Framingham MA 01702 INSURERtS) AFFORDING COVERAGE NAIC 0 INSURER A: ACE American Insurance Company 22667 INSURER B : ACE Fire Underwriters Insurance Company 20702 INSURER C : Indemnity Insurance Co of North America 43575 INSURER D : Travelers Property Casualty Company of America 25674 INSURER E COVERAGES 1st CERTIFICATE NUMBER: 20305597 REVISION NUMBER: XXX7iXXX THIS 1S 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 SUBR NUMBER POLICPOLICY MMJDR EFF POUCMWDDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-hAADE OCCUR SIR $25,000 Y Y XSL G47357949 2/1/2024 21,2025 FJ�CH OCGURRENCE s 1,975,000 ENTED PREMISES Ea occurrence s 975,000 X MFO FXP (Any one person) s XXXXXXX PERSONAL & ADV INJURY s 1 975 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC OTHER: GENERAL AGGREGATE s 20,000,000 PRODUCTS-COMPIOPAGG $ 4,000,000 S A AUTOMOBILE LIABILITY ]� ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS IRED UTOS ONLY AUTOS L� A y y ISA H10770269 2/1/2024 2. 1 '2025 COMBINED SINGLE LIMrr Ea accident = 5 000 000 BOD4 Y INJURY (Per person) S �X BODILY INJURY {Per accident) S XXXXXXX P�Oac R%FAMAGE = X�( X iXXXXXXX D X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE Y N CUP-3W382462-24-NF 2/1/2024 21/2025 EACH OCCURRENCE S 10,000,000 AGGREGATE S XXXXXXX DED I X I RETENTION $ 10,000 S XXXXXXX C A H WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N OFFICERIMEMBEREXCLUDED? � (Mandatory In NH) If y DESCRIPTION ON OF OPERATIONS below NIA Y WLR CS5653410 (AOS) WLR C55653872 (OR) SCFC55653471 (WI) 2/1/2024 2/1/2024 2/1/2024 2- 1/2025 2.1/2025 2 I'2025 PER OTH- X STATUTE ER E.L. EACH ACCIDENT S 1,000.000 E.L. DISEASE - EMPLOYEE FA $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached IT mom apace Is raqulrsd) � Certificate Holder is included as an Additional Insured in accordance with the policy provisions of the General Liability, Automobile Liability, andUmbrella�ut itypo(tc�s6 R. eaera. Liability and Automobile Liability insurance evidenced herein are Primary and Non-contributory to other insurance maintained by Additional Insured. Watvcr of Subrogation is granted in acdancc with pot ey provisions of the General Liability, Automobile Liability, and Workers' Compensation policies as permitted by law FEB 20305587 City of Caldwell P. O. Sox 1179 Caldwell ID 83606 attachment 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 REPR7E `� r m 1988-2015 ACORD CORPORATION. 'Al rights reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD