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Home My WebLink AboutBluebird Car WashBLUEONT-01 SOLIV CERTIFICATE OF LIABILITY INSURANCE DATE si5 2n 2e 1 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 ENSURER(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, certaln 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 NAMEACT Kathy Burt Helena Office PHONE Marsh McLennan Agency LLC (AIC, No, Ext)(406) 457-2103 P.O. Box 6127 E-MAIL KathyBurtMar. Helena, MT 59604 INSURED Bluebird Car Wash Management, LLC 350 N. 9th St., Suite 200 Boise, ID 83702-5469 Compa 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 LTRfMMIDDIYYYYI TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X ENP 0540363 6/1012024 611012026 EACH OCCURRENCE S 1,000,000 DAMAGE TREMSESO RJEeENTED occuffencel S 500,000 MED EXP An oneperson) S 5,000 _ PERSONAL& ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ElPps F_x] LOC OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS-COMPIOP AGG S 2,000,000 _ S A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTO ONLDY ENP 0540363 6/10/2024 6/10/2025 COMBINED SINGLE LIMIT fEa accident)X S 1,000,000 BODILY INJURY Per on $ BODILYBOODILY INJURY Per accident $ PPe�awtlenDAMAGE $ $ A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE X ENP 0540363 611012024 611012025 EACH OCCURRENCE $ 10,000,000 AGGREGATE S 10,000,000 DED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY ppFFICERIM IMTggOERf EXCLUDED? ECUTIVE I jMandatory�It NHy If Yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- E L EACH ACCIDENT S E L. DISEASE - EA EMPLOYEE S E.L DISEASE - POUCY UM T S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) I {} $�+ Additional Insured wording per blanket form GA227 attached OWFLL'.>1 CIERI. JLIN 2024 City of Caldwell PO Box 1179 Caldwell, tD 83606 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 -r?� '# . ACORD 25 (2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD