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Home My WebLink AboutMarcos Daccarett0 A`4Ro CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 05/08/2024 THIS CERTIFICATE 1S 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 endorsements . PRODUCER Keefan Caron CON r;T Keefan Caron N E- NE 208-618-2085 uc No 208-375-2180 EMAILADDRE . kcaron@idfbins.com INSURER(Sl AFFORDING COVERAGE NAIC t 1250 S Allante Ave INSURERA: Western Community Insurance Company 39519 Boise ID 83709 INSURED INSURERS: INSURER C : Marcos Daccarett INSURERD: Sarah Daccarett INSURER E: 3676 E Parkcanter Blvd INSURERF: Boise ID 83716 rnvCvAr-=c rFRTIFIrATF Mt1MRFR- REVISION NUMBER: THIS 1S 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. WSR LT8POLI TYPE OF INSURANCE ADDL SUBR POLICY NUMBER PO LICY EFF CY EXP LIMITS A X COMMERCIAL GENERALLLA131UY CLAIMS -MADE LJ OCCUR N N 8V339901 05107/2024 05/07/2026 EACH OCCURRENCE S 1,000,000 PR MISES Ea oxurrence S 100.000 MED EXP (Any one reon) $ 5.000 PERSONAL A ADV INJURY S 1,000.000 GENLAGGREGATE LIMIT APPLIES PER: X POLICY❑JECT Loc OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG a INCLUDED $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIM17 Ea accident $ BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ $ PROPERTY DAMAGE Per a en S A UMBRELLALIAB OCCUR EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE AGGREGATE S DIED I I RETENTION $ WORKERS COMPENSATIONO AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE ❑ OFFI C E RIM E M B E R EXCLU D E D7 (Mandatory In NH) 0 yee describe under DESCRIPTION OF OPERATIONS below NIA TATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIM T $ 1.3Y DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atlached If more space is requited) 114L 5515 Aviation Way #933 and 4321 Aviation Way #251 J ! { N 9 ,1 2024 City of Caldwell Caldwell Airport 4814 E Linden St Caldwell iD 83605 L:ANL:L:LL.A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (rd 1983-ZU15 AGURD CORPORA TLUN. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD