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HomeMy WebLinkAbout5K Services LLC.d►coRrO® CERTIFICATE OF LIABILITY INSURANCE `.� DATE(MMIDDNYYY) 05/02/2024 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 CONTACT LEANN PULLMAN NAME: LEANN PULLMAN AGENCY PNONE 208-505-6363 FAXNo ; 208 505 4757 ADDRESS, Ipullman@idfbins.com INSURERS AFFORDING COVERAGE NA1C # 3050 12TH AVE RD INSURERA: Western Community Insurance Company 39519 NAMPA ID 83686 INSURED INSURER B : INSURER C : 5 K SERVICES LLC INSURER D : % BRET KIMMEL INSURER E : 607 FAIRHAVEN INSURER F : MIDDLETON ID 83644 COVERAGES CERTIFICATE NUMBER: 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. I�TR TYPE OF INSURANCE ADPL SUBR POLICY NUMBER EFF MMI�DIYYYY MCY MI POLICY LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS -MADE L"] OCCUR Y I Y 8V966601 05/01/2024 ftOUM5 EACH OCCURRENCE $ 2,000,000 PREMISES Me -occurrence) $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 G£N'LAGGREGATE LIMIT APPLIES PER. POLICY F X ] PROT- LOC OTHER GENERAL AGGREGATE S 2,000,000 PRODUCTS-COMPIOPAGG $ INCLUDED S A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEOULEO AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident) S BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident 5 S A UMBRELLALIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DEO I I RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOPJPARTNERIEXA OF ICERIMEM EEXCLUDED? ECUTIVE ❑ (Mandatory in NH) I1 yes, descr bo under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Refer to IDCG 236 (03107) Exclusion of Coverage for Structures Built Outside of Designated Areas Endorsement It KULUtK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF CALDWELL ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE PO BOX 1179 CALDWELL ID 83606 ,L.44m4p /110U&M441 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD