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ACilbik&
`r CERTIFICATE OF LIABILITY INSURANCE
DATE (MMfDDIYYYY)
1 7.1712024
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
NAME: lien Mock
Idabn Select htsurancc, LLC.
PHOVAX
Arc No Ext : (208) 473-2406 (AIC, No):
ADDRESS ben(iuidselectins.cont
3023 E. Copper Point Dr. Ste 203
INSURER(S) AFFORDING COVERAGE
NAIC N
INSURER A: Auto Owners Insurance Company
MERIDIAN 1D 83642
INSURED
INSURER B
MIIG ElmcgwiNts IIIC
INSURER C :
2749 Iz MOKENA DR
INSURER D :
INSURER E
IiOISIi I D 83716
INSURER F
COVERAGES CERTIFICATE NUMBER: RFvISInN NI1MRFD-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEF 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.
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
(MMIDDNYYY)
(MMIDDIYYYY)
LIMITS
x
COMMERCIAL GENERAL LIABILITY
t.LArMS-MADE DKOCCUR
EACH OCCURRENCE
S 1,000,000
PREMISES (Ea occurrence)
$ 300,000
MED EXP (Any one person)
$ 10,000
PERSONAL a ADV INJURY
S 1,000,000
A
Y
Y
57424623
152024
15 2025
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
S 2,000,000
POLICY JEIT LOC
PRODUCTS - COMP/OP AGG
S 2,000,000
OTHER:
Hired Non -Owned Auto
S 1.000,000
AUTOMOBILE LIABILITY
LuMtJINhubINULt LIMIT
Ea acddent
S
ANY AUTO
BODILY INJURY (Per person)
5
OWNED SCHEDULED
AUTOS ONLY AUTOS
B:tDILY INJURY {Per awdenl}
S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
(Ni accident)
S
S
UMBRELLA LIAB
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
S
AGGREGATE
5
EXCESS LIAR
DED RETENTION$
S
ORKERS COMPENSATION
%ND EMPLOYERS' LIABILITY YIN
%NY PROPRIETORIPARTNEWEXECUTIVE ❑
FFICERIMEMBER EXCLUDED?
Mandatory In NH)
f yes, describe under
ESCRIPTION OF OPERATIONS below
N A
G Ar%Q��A�
�„
STATUTE ER
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
5
E.L. DISEASE - POLICY LIMIT
5
A
Professional Liability
57424623
7 15.2024
711Sf2024
Claims -Made Aggregate
Deductible
1.000,000
2,500
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RECEW0 L
riARDwr I I'. I V
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Cardwell ACCORDANCE WITH THE POLICY PROVISIONS.
PO BOK 1 179 I AUTHORIZED REPRESENTATIVE
Caldwell ID 83606 8lt4 - Mork.
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD