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HomeMy WebLinkAboutBeniton Construction CompanyD® ACORCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD,YYYY) 3/29/2024 ' 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 endorsement(s). PRODUCER The Buckner Company 960 Pier View Drive, Suite A Idaho Falls ID 83402 CONTACT Jessica O'Connell NAME�PHONE, 208-656-7925 ac No : 208 656-7925 E-MAIL ADoREss: 'oconnell buckner.com INSURERS AFFORDING COVERAGE NAIC g INSURER A: Crum and Forster Specialty Insurance Company 44520 INSURED SENICON-01 Beniton Construction Company Inc. PO Box 838 INSURER B : Selective Insurance Company of America 12572 INSURER C : WCF Select Insurance Company INSURER D : Meridian ID 83680 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 1178162277 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF fMWDDIYYYYI POLICY EXP 4MMIDDIYYYY)LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y S 2505127 1/1/2024 11//2025 EACH OCCURRENCE $1.000.000 CLAW; -MADE X o4Ci P AMAGETORE NTED PREMISES Ea occurrence1 $ 500.000 MED EXP (Any one person) $15, 000 PERSONAL & AOV ,NJURY $1.000,000 GEN'L GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APP' POLICY L ^ J JEG �� - PRODUCTS COMPIOP AGG $ 2.000,000 $ OTHER: B AUTOMOBILE LIABILITY Y Y S 2505127 1/1/2024 111I2025 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident; S X PROPERTY DAMAGE Per auident $ NON -OWNED HIRED IX AUTOS ONLY AUTOS ONLY $ B UMBRELLA LIAR X OCCUR Y Y S 2505127 111/2024 111/2025 EACH OCCURRENCE $10,000,000 X AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y 3456974 10112024 111/2025 X PER OTH- STATUTE ER E.L EACH ACCIDENT $ 1,000,000 ANYPROPRIETORIPARTNERIEXECU7IVE ❑ OFFICERIMEMBER EXCLUDED? NIA E.L DISEASE - EA EMPi OYEE $1.000.000 (Mandatory In NH) If yes describe under DESCR NON OF OPERATIONS below EL DISEASE POLICY I IMIT $1.000,000 A ProfessionaUPollution Liability PKC-113983 3/112023 V112025 Each Occurrence $5.000.000 Aggregate $5,000.000 DESCRIPTION OF OPERATIONS.' LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured Status is provided when required by Written Contract between the Named Insured and Certificate Holder per the General Liability (CG79880622) and Auto Liability (CA78091117). Coverage is pprimary and non-contributory. Waiver of Subrogation is provided when required by written contract per General Liability (CG73000622), Business Auto (CA78091117) Workers Compensation (WC00031300). Additional Insured: City of Caldwell. Idaho CERTIFICATE HOLDER CANCFI 1 ATlr1111 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Caldwell, Idaho 621 Cleveland Blvd. AUTHORIZED REPRESENTATIVE Caldwell ID 83605 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD