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Mutual.
INSURANCE
Coverage Is Provided In.
Ohio Security Insurance Company
Common Policy Declarations
Named Insured Agent
Policy Number:
BKS (25) 59 43 76 37
Policy Period:
From 01/04/2024 To 01/04/2025
12.01 am Standard Time
at Insured Mailing Location
HECKS LLC (208) 459-9422
5600 CLEVELAND BLVD CALDWELL, ID MIDTOWNE INSURANCE
CALDWELL, ID 83605 6618 CLEVELAND BLVD STE A
CALDWELL, ID 83607-1540
SUMMARY OF LOCATIONS
This policy provides coverage for the following under one or more coverage parts. Please refer to the individual
Coverage Declarations Schedules, or, the individual Coverage Forms for locations or territory definition for that
specific Coverage Part,
0001 5125 Aviation Way 811, CALDWELL, ID 83605
POLICY FORMS AND ENDORSEMENTS
This section lists the Forms and Endorsements for your policy. Refer to these documents as needed for detailed
information concerning your coverage.
FORM NUMBER TITLE
CG 00 01 04 13
Commercial General Liability Coverage Form - Occurrence
CG 21 06 05 14
Exclusion - Access Or Disclosure Of Confidential Or Personal Information And
Data -Related Liability - With Limited Bodily Injury Exception
CG 21 47 12 07
Employment -Related Practices Exclusion
CG 21 67 1204
Fungi or Bacteria Exclusion
CG 21 7001 15
Cap on Losses from Certified Acts of Terrorism
CG 21 7601 15
Exclusion of Punitive Damages Related to a Certified Act of Terrorism
CG 21 8801 15
Conditional Exclusion of Terrorism Involving Nuclear, Biological or Chemical
Terrorism (Relating to Disposition of Federal Terrorism Risk Insurance Act)
In witness whereof, we have caused this policy to be signed by our authorized officers.
Damon Hart Hamid Mirza
Secretary President
To report a claim, call your Agent or 1-844-325-2467
DS 70 21 11 16
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