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HomeMy WebLinkAboutAmbiente H2O____1M04N AMBIH2O-01 GENEV ,44c,vRo CERTIFICATE OF LIABILITY INSURANCE FDATE(MMfDDlYYYYj 10/17/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH)S 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 Mountain West Insurance - Englewood 3575 S Sherman Street Englewood, CO 80113 INSURED Ambiente H2O Inc Steve Hansen 1500 W Hampden Ave #3G Sheridan, CO 80110 c ACT Jenny Robillard PHONE 1AICC. No. Exe: (303) 762-1717 IriAXc-Nnr(303i 762-1733 INSURER F. 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR _ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X JECT LOC OTHER: X ENP 0254705 611/2024 61112025 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED_pR $ 500,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUUpTNNOSyyYy EEpp AUTOS ONLY AUTOONNLY ENP 0254705 6/112024 611/2025 COMBINED SINGLE LIMIT (El @cdJIlntI 11000,000 BODILY INJURY Per erson BODILY INJURY Per accident $ PeOaoEciAeenl AMAGE A X UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE ENP 0254705 61112024 6/1/2025 EACH OCCURRENCE $ 1,000,000 AGGREGATE 1'000'000 DER RETENTION$ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ! NLITE ANY PROPRIETORlPARTNERIEXECUTIVE �FFICERIMEMgg t EXCLUDED? ilandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below N I A 4112464 311/2024 3/112025 X I PER OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 A Property ENP 0254705 6/112024 61112025 BPP 552,500 1]C C 11C RV DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is rel I1iAf l CITYCLERK City of Caldwell-WWTP is named as additional insured with respect to general liability coverage, if required by c act. 0 C T 18 2024 City of Caldwell PO Box 1179 Caldwell, ID $3606 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 REPRESENTATIVE tq'14nw) �� l") ACORD 25 (2016103) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD