HomeMy WebLinkAboutThomas EbertA� V CERTIFICATE OF LIABILITY INSURANCE
DA03/1012025
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(les) 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
1008 Burley Ave
Buhl, ID 63316-1812
CONTNAME; Jennifer Cook
PHONE FAX
208-543-6438 Arc No: 208-543-6439
E-MAILaL jcook@idfbins.com
INSURERS AFFORDING COVERAGE
NAIC X
INSURERA: Westem Community insurance Company
39519
ID
INSURED
INSURER e :
Thomas F Ebert
1000 San Bruno Ave
INSURERC.,
Morgan Hill, CA 95037-9223
INSURERD:
INSURER E :
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 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.
INSR
LTRDDIYYM
TYPE OF INSURANCE
ADDL
SUOR
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
Y
N
08-237837-02
04/01/2025
04i"�112026
EACH OCCURRENCE
$ 1,000,000 CSL
P MI OE ToE
$ 100,000
MED EXP one rsm
$ 5,000
PERSONAL BADVINJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY 0 J'E T LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000 CSL
PRODUCTS -COMPIOPAGG
Included
A
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
d.
BODILY INJURY (Per person)
BODILY INJURY (Per aWdent)
PR OPERTY DAMAGE
n
A
UMBRELLALIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
AGGREGATE
DED I I RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANYPROPRIETORIPARTNERIEXECUTIVE ❑
O FFICERIMEMBE R EXCLUDED?
(Mandatory In NH)
IF yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
PER OTH-
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYE
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddIdanal Remarks Schedule, may be attached If more apace In required)
APR U ? 2025
Caldwell Industrial Airport
4814 E Linden St
Caldwell ID 83605-8(136
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
ACORD 25 (2016103) ®1988-2015 ACORD CORPORATION. All rights reserved.
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