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'4�oRo CERTIFICATE OF LIABILITY INSURANCE °AA11919A7A
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(iss) 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 NXqjryr cacn uenne
The Hartwell Corporation PHONE FAX
PO Box 400 (A/C, No. Est): (208) 459-1678 (Ale, Ne):(208) 454-1114
Caldwell, ID 83608 AEDoRkss:zach@thehartwellcorp.com
INWRER(S) AFFORDING COVERAGE "Ca
INSURER A: Auto -Owners Insurance Company 18988
INSURED INSURERS: SIF Idaho Workers Compensation 36129
Earth Energy, Inc. INSURERC:
PO Box 190474 INSURER D :
Boise, ID 83719--0474
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMBER-- RFVISION NUMRFR•
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 ONIID POLICY NUMBER POLICY EFF POLICY EXP
LTRA
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE S
11000,000
CLAIMS -MADE X OCCUR 57032764 9/26/2023 9/26/2024
DAMAGE TO RENTED
PREMISES (Es 000ummm) S
300,000
MED EXP (Any one Pew) S
10,000
PERSONAL A ADV INJURY S
1,000,000
GEML AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE S
2,000,000
POLICY JECT LOC
PRODUCTS - COMP/OP AGG i
2,000,000
OTHER
A AUTOMOBILE LIABILITY
1E eBBW ; SINGLE LIMIT S
11000,000
ANY AUTO 5303278200 9/26/2023 9/26/2024
BODILY INJURY (Per person) $
OWNED SCHEDULED
X
AUTOS ONLY AUTOS
SSyyNEp
BODILY INJURY (Per ecddent) i
X AUTOS ONLY X AUTOS ONLY
�P aPERT M GE S
A X UMBRELLA LIAB X OCCUR
EACH OCCURRENCE S
5,000,000
EXCESS LIAR CLAIMS -MADE 5303278201 9/26/2023 9126/2024
AGGREGATE y
5,000,000
DED X RETENTIONS 10,000
ANDEMPLOYEER9 LI BILiT
X PER
ER
YIN
ANY PROPMETgOWPARTN£RIEXECUTNE 534952 711l2424 711/2025
El EACH ACCIDENT S
1,000,004
KandE= In NH} EXCLUDED? NIA
1,000,0tii)
Nyes describe under
El DISEASE - EA EMPLOYEE S
1,000,000
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addittonal Remarks Schedule, may be attached H more spice Is required)
JUL
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Caldwell
411 Blaine St
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Caldwell, ID 83606
AUTHORIZED REPRESENTATIVE