HomeMy WebLinkAboutDesert Sky ConstructionDESESKY-01 HUMN
AcoRO- CERTIFICATE OF LIABILITY INSURANCE DATE 81212024 Yl
MMIDDAY
12024
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 endorsemen4s).
PRODUCER ME ACT Natalie Huntley
The Hartwell Corporation Na"ICNNo Ext 20i3 459-16T8 FAX
PO Box 400 S_ — t. _ . JAIC, Nol;
Caldwell, ID 83606 nataliethehartwelicorp.com
INSUREACS1 AFFORDING COVERAGE NAIC 0
.INSURER A,, Owners Insurance Company _ 32700
INSURED , INSURER B; SIF Idaho Workers Compensation 36129
Desert Sky Construction LLC INSURER C
17545 Four Wheel Drive RISURER D
Caldwell, ID 83607
INSURER E
r
INSURER F -
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 _
,R ADDL SUER POLICY EFF POLICY EXP
TYPE OF INSURANCE �r, ,�yy,t, I POLICY NUMBER rurm n�wv.vi au u.nnrr % LIMITS
A A COMMERCIAL GENERAL LIABILITY i
77 CLAIMS -MADE "X, OCCUR j
I X
GEN'L AGGREGATE LIMIT APPLIES PER!
POLICY ❑ Jpm LOC
OTHER: General Aggregate
AUTOMOBILE LIABILITY
ANY AUTO
OWNED AUTOS ONLY AUUTNOSSyJyLEDp
AUTOS ONLY AUTOS R
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS -MADE
_ DESt RETENTIONS _
B WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIIEMTBOERRIPARTNER!EXECUTIVE Y N
(Mandatory In NHI EXCLUDED? N 1 A
0 res. describe under
EACH OCCURRENCE
! 612812024 6/28/2025 3AMAGE TO RENTED
LMED EXP LAny one person;
, ER 14%� ADV INJURY
LIMIT
PER
STATLITE
4/1/2024 4/112025 E.L. EACH ACCIDENT
E.L. DISEASE -
I DESCRIPTION of OPERATIONS J LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule may be attached If more space Is requlredi
City of Caldwell is additional insured with respects to General Liability, form to follow. _
_EIVED BY
ALDWELL CITY CLERK
SEP 3 0 2024
CERTIFICATE HOLDER CANCELLATION
1 500,000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Caldwell
PO Box 1179
THE EXPIRATION DATE THEREOF,
ACCORDANCE WITH THE POLICY PROVISIONS. NOTICE WILL BE DELIVERED IN
Caldwell, ID 83605
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved.
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