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HomeMy WebLinkAboutC & S ExcavationACORV CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 08/08/2024 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER FIG Insurance - National 6206 N Discovery Way, Ste 102 BOISE, ID 83713 CONTACT NAME: Traci Williams PHONE 208-991-3494 (FAAIX No nDORIEss, tracl.williamsWignow.com INSURERS AFFORDING COVERAGE NAIC p INSURERA: Auto Owners Insurance 18988 INSURED INSURERS: ID State Insurance Fund 36129 C & S Excavation, Inc. INSURER C 1790 Garrison Ln INSURER Kuna, ID 83634-1128 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 00135784-4329143 REVISION NUMBER_ 9s 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICYlYEFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE IJ OCCUR 57906395 08108/2024 0810812025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTIEU- PREMISES Ea occurrencel $ 300,000 MED EXP (Any one person) $ 10,000 _ PERSONAL 5 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY [j] jEa 0 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG $ 2 000 00O $ OTHER: A AUTOMOBILE LIABILITY 4690639502 0810812024 08108/2025 Ea accident) SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per personl $ ANY AUTO OWNED SCHEDULED X AUTOS ONLY AUTO$ BODILY INJURY (Per accident; $ HIRED NOWOWNED X AUTOS ONLY X AUTOS ONLY PROPERTY DAMAG Per accident $E A X UMBRELLA LIAR X OCCUR 4690289600 0810812024 08108/2025 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED F1 RETENTION$ $ B WORXERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOFUPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) H yes. descn a under DESCRIPTION OF OPERATIONS below N I A 543828 1010112023 1010112024 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - E4 EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 000,000 A Rented Equipment 57906395 0810812024 0810812025 Dad 1000 200,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is fisted as an additional insured with respect to general liability and auto if required or agreed to in a written contract subject to all provisions and limitations of the policy. A Waiver of Subrogation in favor of Certiflippte-Ho.!0er applies with respect to general liability, auto and workers compensation if required or agreed to in a written contract subjedtRo all provisions and limitations of the policy. AUG - 3 2024 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Caldwell Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 1179 Caldwell, ID 83606 AUTHORIZED REPRESENTATIVE � TD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by TOW on 08/08/2024 at 09-51AM