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Home My WebLink AboutNorthwest LandscapeAC<>R br CERTIFICATE OF LIABILITY INSURANCE [Am m( DD z4" 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 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 NAME: Jayson Meline MUTUAL INS ASSOCS INC PHONE (208)237-9696 FAX (AIC No: tJUx1.`: 9697 1575 Baldy Ave ADRESS;jaysonm@mutualid.com INSURE S AFFORDING COVERAGE NAIL If INSURERA:Employers Mutual Casualt Co. (EMC) 21415 Pocatello ID 83201 INSURED INSURER B: Idaho State Insurance Fund 36129 INSURERC: Northwest Landscape, LLC INSURER D PO Box 868 INSURER E INSURER F : Emmett ID 83617 COVERAGES CERTIFICATE NUMBER:24-25 Master 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 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 tNSR LTR I TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIODIYYYY POLICY EXP MMIDONYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE PREMISES Ea oomxmnce S 500,000 A CLAIMS -MADE Q OCCUR MED EX(Any aria person) $ 10,000 X SX83788 3/1/2024 3/1/2025 PERSONAL RADVINJURY S 1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: X POLICY JECT M LOC GENERAL AGGREGATE S 2,000,000 -PRODUCTS -COMPIOPAGG $ 2,000,000 EnWlayeeSenefft $ 2,000,000 OTHER: I I AUTOMOBILE LIABILITY COMBINED 719=7917- Ea acadent $ 1,000,000 BODILY INJURY (Par person) S A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 5XB3780 3/1/2024 3/1/2025 BODILY INJURY (Per occident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Paraoodart $ Medical paynamis $ 5,000 X UMBRELLALIIB X OCCUR EACH OCCURRENCE S 2,000,000 AGGREGATE $ 2,000 000 A LI EXCESS B CLAIMS -MADE DEp I X I RETENTION S 10,000 S X 5XS3788 3/1/2024 3/1/2025 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under NIA 655860 3/1/2024 3/1/2025 X PER TAT TE I IER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE S 500,000 DESCRIPTION OF OPERATIONS belay E.L. DISEASE -POLICY LIMIT $ 500,000 A INLAND HRRINE (C) SX03788 3/1/2024 3/1/2025 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may be attached If rnon apace is required) IDT Project: A023(080) I-84, Franklin Rd IC to Karcher IC -West, Contract No. 8669, Key No. 23080 City of Caldwell, Western Construction Inc. and Idaho Deparetment of Transportation are Addtional Insureds per Form CG7578. CERTIFICATE HOLDER CANCELLATION HECEWD BY GALOWELL (I FV CLFRI; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Caldwell THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 1179 I� C E B i ?f1 �r GU ACCORDANCE WITH THE POLICY PROVISIONS. Caldwell, ID 83606 AUTHORIZED REPRESENTATIVE Robert Schiers/JME ACORD 25 (2014101) INS025 (201401) ®1988-2014 ACORD CORPORATION. Ail rights reserved. The ACORD name and logo are registered marks of ACORD