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Home My WebLink AboutThomas Ebert (2)DATE (MWDDIYYYY) A� o® CERTIFICATE OF LIABILITY INSURANCE 04/01/2025 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 NAME: Jennifer Cook 1008 Burley Ave I. �PqH2ONE FAX Buhl, ID 83316-1812 E AIIr, E�11 208-543-6438 IArC, No}: 208-543-6439 AnnRFCC• )Cook(Midfbins.Com INSURERS AFFORDING COVERAGE NAIC0 ID INSURER A; Westem Community Insurance Company 39519 INSURED INSURER B : Thomas F Ebert 2260 W Clear Creek Dr INSURER C : Eagle. ID 83616-7636 INSURER D : 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 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. 1�TR TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IK OCCUR AGGREGATE LIMIT APPLIES PER POLICY I JEC I i LOC OTHER Y N 08-237837-02 04101 /2025 04/0112026 EACH OCCURRENCE $1,000,000CSL DAMAGE TO RENTEU_ PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L %f GENERAL AGGREGATE $ 2,000,000 CSL PRODUCTS - COMPIOP AGG Included A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) BODILY INJURY (Per accident PROPERTY DAMAGE Per aoladent A UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE OED I RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N 1 A 5TATUTE EOIm E.L EACH ACCIDENT E,L DISEASE - EA EMPLOYE E.L. DISEASE - POLICY L MiT DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be a@ached if more space Is required) 5515 Aviation Way #1036 Caldwell, I D 83605 MAY 0 7 2025 rddcyfl:lid.,111 ra1111dt. f_ANr_F1 I ATInN Caldwell Industrial Airport SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 4814 E Linden St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Caldwell, ID 83605-8036 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE L ACORD 25 (2016/03) CD 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD