HomeMy WebLinkAboutMarshall IndustriesClient#: 2924
MARSHALIND
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDfYYYY)
9/11 /2024
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
CONT
NAMe;CT Cyndi Pissare
Moreton 8r Company -Utah
INCN o Ext:801 715-7193 FAX
AIC No ; 801-531-6117
P.O. Box 58139
ADDRESS: cpissare@moreton.com
Salt Lake City, UT 84158-0139
801 531-1234
INSURERS) AFFORDING COVERAGE
NAIC 0
INSURER A: National Fire Ins CD Hartford
20478
INSURED
INSURER B : Continental Insuranc@ Company
35289
Marshall Industries, Inc
INSURER c: WCF Mutual Insurance Company
10033
210South
INSURER 0: WCF Select Insurance Company
21865
Salt ty, UT 8412D-1206
Salt Lake City,
Y Valle Fore Insurance Company INSURER E: 9 p y
20508
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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 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
LTR
TYPE OF INSURANCE
DDL
SUBR
D
POLICY NUMBER
POLICY EFF
IMMJ0DNYYY1
POLICY EXP
(MMIDDIYYYY)LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -(MADE 7 OCCUR
7036646990
D310112024
0310112025
EACH
$1 000000
�OECCCUR�{RENCE
Ealloiortence
PRE
$300 000
X
MED EXP (Any one person)
a 15 000
PO Ded: $2,500
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY � ECOT- LOC
GENERAL AGGREGATE
s2,000,000
PRODUCTS - COMP/OP AGG
52,000,000
$
OTHER:
E
AUTOMOBILE LIABILITY
7036646973
3101/2024
03/011202
ICEMeS eSINGLE LIMIT
Ea axiden l
1,000,000
BODILY INJURY (Per person)
S
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X AUTOS ONLY �( NON -OWNED
AUTOS ONLY
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per aoddent
$
a
B
X
UMBRELLA LIAR
X
OCCUR
7036646987
3/01/2024
03/0112025
EACH OCCURRENCE
S3 OOO OOO
AGGREGATE
a3 000 000
EXCESS LIAB
CLAIMS -MADE
DEO T X RETENTION 40
$
`+
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERfEXECUTIVE Y l N
OFFICERIMEMBER EXCLUDED? Y
N I A
1419522
2401191
1101/2024
1/01/2024
01/01/202
01101 /202
X PER OTH-
E.L. EACH ACCIDENT
S11,000,000
E.L. DISEASE - EA EMPLOYEE
$1 00O 000
L
(Mandatory in NH]
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT
$1,000,000
A
Rented/Leased
7036646990
0310112024
03/01/2025
$50,0001$1,000 Ded
Equipment
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required)
City of Caldwell is included as additional insured in regard to work/services performed by the namAd
Insured an the general liability policy when required by written contract, per the above policy conditions
and endorsements.
.k EP ' 9 2024.
City of Caldwell
PO Box 1179
Caldwell, ID 83606
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
14*0 V51-
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