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Home My WebLink AboutCR ContractingACORO® DATE (MMroD,YYYY) CERTIFICATE OF LIABILITY INSURANCE 3r1212025 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 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 NAME: JUIZ Barber Anchor Insurance and Surety, Inc PHONE FAx PO Box 2808 Eatl, 503-224-2500 riot, Not: 503-224-9830 Portland OR 97208 E-MAILADDRESS: certiftcateseanchonas.com INSURER 5 AFFORDING COVERAGE NAIC 0 INSURER A: SAIF Corporation 36196 INSURED CRCONTR-01 INSURER B : Zurich American Insurance Co. 16535 C.R_ Contracting LLC 64435 Strickler Ave. Ste 100 INSURER C : Navigators Specialty Ins Co. 36056 Bend OR 97703-6608 INSURER D: BITCO General Insurance Corp. 20095 CnVFRAGFS CFRTIFICATF NIIMRFR• 15QA71959n RFVIQIr%fJ WI1111lRFQ- 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MWDOfYYYY LIMITS D TMERCIALGENEFtALUABILFrY CLAIMS -MADE 1 OCCUR Y Y CLP3746459 711St2024 71111IM25 EACHOCCURRENCE $1,000000 DAMAAiE T5_R_E VTED PREMISES_(Ea occurrence) $ 300.000 MED EXP (Any one person) $10.000 PERSONAL & ADV INJURY $ 1,000,000 GENT GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY 1 jE i " T ❑ LOC PRODUCTS-COMP/OPAGG $2,000000 X LIMITED POLLUTION $ 1,000 000 OTHER: WA STOPGAP D AUTOMOBILE LIABILITY Y Y CAP3746460 7/18/2024 fi11912415 COMBINED SINGLE LIMIT Ea aocidenl $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NOWOWNED AUTOS ONLY AUTOS ONLY $ PROPERTY DAMAGE per ecadeni $ D X UMBRELLALIAB X OCCUR Y Y CUP3746461 7118/2024 701002M EACH OCCURRENCE S5,000,000 AGGREGATE $ 5.000.000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? ❑ N I A Y 997827 WC 0092025-10 711/2024 7/1/2024 7H12025 7/1 /1025 X PTATUTE ERA SeeDesofi tion p $ 1,000.000 E.L. EACH ACCIDENT E.L. DISEASE -FA EMPLOYEE $ 1,000,000 (Mandatory in NHI IF yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000.000 D C D Installation Floater ContraclorsPollution Liability Leased(Rented Equipment CLP3746459 SF24ECP000472NC CLP3746459 7/18/2024 5/1/2024 7/18/2024 711812025 7/1812025 7/18/2025 Limit S1,000,0000ca Um'I $60,000 $2.000,000Agg. $175,000 Per Item DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more apace Is required) Certificate holder and all other entities are additional insureds when specified by written contract. Coverage is primarryy 8 non-contributory and includes waiver of subrogation when required by written contract. All subject to the terms, conditions and exclusions of the policies. Endorsemen(s attached: GL3086 10119, Gi_2784 09111. AP0401 10117, NENV8001 03113, NAV ECP-O TLKT II 03113 S WC000313. f1 Umbrella Liability goes over General Liability, Auto Liability and Employers Liability. MAR 19 2025 Statutory Workers Comp applies in; OR AZ CA CO ID KS MT NE NM NV OK TX S UT Project: 2025 Fog Coat of Chip Sealed Streets CFRTIFICATF Flrll nFR raklrcl I ATInkI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Caldwell 205 S 6th Avenue Caldwell ID 83605 AUTHORIZED REPRESENTATIVE (0 1983-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD