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HomeMy WebLinkAboutGabbert & Edwards ConstructionACORU® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDMYYY) 02r121202a 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 endorsement(s). PRODUCER CONTACT Wendy Rainwater NAME: Northwest Insurance Brokers. Inc PHONE (208) 287-8808 FAx (208) 376-5444 AIC No E¢t : A!C No 1860 N Lakes Place ApDRIESS: wlramwater@acrisure.com INSURER(S) AFFORDING COVERAGE NAIC 0 Mendien ID 83646 INSURERA: Auto -Owners Insurance Company 18988 INSURED INSURER B . Liberty Mutual; West American Insurance Company 44393 Gabbert 8 EdwardsConStruat*n. LLC INSURERC: 2159 S Centurion Place INSURER D : INSURER E : Boise ID 83709-2865 INSURER F : COVERAGES CERTIFICATE. NUMBER: CL2421204665 RFVIl41C1N NIIMRFR- 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 CONTRACTOR OTHER DOCUMENT NTH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSIR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF IAWD POLL Y EX MWD LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR EACH OCCURRENCE $ 1.000,000 PREMISES Ea occurrence S 500,000 MED EXP (Any one person) ; 10,000 PERSONAL a ADV INJURY $ 1.000,000 A 5218488001 02/24/2024 0212412025 GEN'LAGGREGATE LIMIT APPLIES PER, POLICY � PRO- JECT LOC GENERAL AGGREGATE S 2,000,000 PRODUCTS-CpMPIOPAGG S 2.000.000 S OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea a=denl $ 1,000,000 X ANYAUTO BODILY INJURY (Per person) S AOWNED SCHEDULED AUTOS ONLY AUTOS 5218488001 02/24/2024 0212412025 BODILY INJURY (Per acadenl) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per eccidenl S S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1.000.000 AGGREGATE 3 1.000,000 A EXCESS LIAB CLA MS MA__E 5218488000 02124/2024 02/2412025 DED I X RETENT ON $ 10.000 S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFF+CERIMEMBEREXCLUDFC:? {Mandatory In NMI If yes, describe under DESCRIPTION OF OPERATIONS below NIA XWW58563009 02/2412024 02/2412025 X STATUTE TH E.L EACHACCIDENT $ 1.000,000 E-L DISEASE - EA EMPLOYEE S 1.000.000 E.L. DISEASE POLICY LIM T S 1.000,000 A Contractors Equipment ACV -subject to $5,000 Deductible) 5218488001 02124/2024 02/24/2025 Leased/Rented Scheduled Equipment $500,000 $4 333 084 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached kf more space Is requiredl [Job #: Topaz Ranch Job Type: ) OFI (wfLl C, iv ^I Fro' Topaz Ranch Subdivision No 3 Frontage TCP I: FB , 7 p� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS. 411 Blaine St 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