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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. The ACORD name and logo are registered marks of ACORD