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HomeMy WebLinkAbout5K ServicesCERTIFICATE OF LIABILITY INSURANCE UAIrIM ULUTTTr' 4/16/2024 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), AUTHORIZE13 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION 18 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not center rights to the certificate holder In lieu of such endorsement(s). PRODUCER Westem Community Ins Co PO BOX 4848 Pocatello, ID832o5-4848 CT PULLMAN LEANN PHONE 208- 0 -6 6 FAl 208-232�608 ADDRESS: INSURERS AFFORDING COVERAGE NAIC2 INSURER A . Westem Communky Ins CO 39519 INSURED IlrrJrrrllrrllrrrlrrlllrJrlrLlllrrlrrlllrrlrrllrrl 2INSUK SERVICES LLC 077 FA I RHAVEN M1 bDLETON 1 D 83644 INSURER B : RERC: INSURER0: INSURER E; INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:AF0670 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 TYPE OF INSURANCEADDLSUBR POLICY NUMBER POLICY EFF MMID POLICY EXP MMIDD LIMITS GENERAL LIABILITY NCE EACH OCCURRE-MMAGE S 1,000,000 TO RE PREMISES a oeearrenee S 100,000 x COMMERCIAL GENERAL LIABILITY CLA MS -MADE ❑X OCCUR MED EXP Any one person) S 10,000 PERSONAL a ADV INJURY $ 1,000,000 A Y Y 8v9666o 1 5/01 /24 5/01 /25 GENERAL AGGREGATE S 2,000,000 GEML AGGREGATE LIMIT APPLIES PER PRODUCTS . COMPIOP AGG s INCLUDED POLICY1:1 PRO LOC $ AUTOMOBILE LIABILITY I L a accident $ BODILY INJURY (Per person) $ ANY AUTO AUTDOISMNED AUrOSSLED NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per ecciderd) S PROPS AGE er accident S S UMBRELLA LIAR HCLAIMS-MADG OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR OED I I RETENTIONS $ WORIMS COMPENSATION AND EMPLOYERS LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in INN) H dascrira under SIPTiON OF OPERATIONS below N I A wo STATU OTH- TORY LIMITS ER E L EACH ACCIDENT i E L DISEASE - EA EMPLOYEd S E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 9 more space is required) Refer to I DCG 236 (03/07) Exclusion of Coverage for Structures Built Outside ;of-� py Designated Areas Endorsement - Copy attached. GAf.F&tLi,. APR I !1 2024 Ilrrlrrrllrrll,rlirrrrlrlrlrrlrllrlrrrllrrllr�rrrlll CITY OF CALDWE LL SS�99 CDEL[3TT 05ALWL10 8 ACORD 28 (2010105) 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 REPREaENTATIVE 04 4D1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD