HomeMy WebLinkAboutCircle C ExcavationAcloRDF CERTIFICATE OF LIABILITY INSURANCE
DATE(MMMDIYYYY)
03/11/2025
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 poilcy(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 endorsement a ,
PRODUCER
Darin Pfost
525 S Middleton RdE-MAIL
Darin Pfosi
PHONE 208 401 0132 FAX
No-
STE 100
Middleton ID 836"
INSURERS AFFORDING COVERAGE
NAIC/
INSURER A c Western Community Insurance Company
39519
INSURED
INSURER B :
Circle C Excavation Inc
INSURERC:
11326 W Curnberbland River Rd
INSURERD:
INSURER E
Nampa ID 83686
INSURERF:
GUVERAGES CERTIFICATE NUMRFR- ocvlcrnu u"Un1=0.
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.
NSR
TYPEOF INSULi'ANCEADD
51ISR
POLICY
POLICY EFF
pDfVYYY)
08/2312024
POLICY EXP
-(~DfYYYYI
---
LIMITS
A
X
COMMBRCIALOENERALLIABILIIY
CLAIMS -MADE � OCCUR
Y
Y
85967006
08/23/2025
EACH DCCURRENCE
f 1.000,000
PREMISES Ea o0d qC.
f 100,000
MED EXP (Any one n)
$ 10,000
PERSONAL, A AOV INJURY
$ 1,000,000
�OEN'LAGGREGATE LIMIT APPLIES PER
/1 POLICY 0 JECT n LOC
OTHER:
GENERAL AGGREGATE
>; 2,000,000
PRODUCT$-CoMPIOPAGG
: 2,000,000
$
A
AUTOMOMILELJABUM
ANY ALTO
OWNED SCHEDULED
AUTOS ONLY AS
X HIRED V NON4WNED
AUTOS ONLY !1 AUTOS ONLY
Y
Y
08-314026-07
08/23/2024
08/23/2025
Ea accident 1 D NGLE LIMIT
Z 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY Per accident
t 1
E
PROPERTY DAMAGE
Par sodden
E
A
UMBRELLALIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
E
AGGREGATE
$
DED I I RETENTIONS
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILRY Y f N
ANYPROPRIEFORIPARTNERIEXECUTIVE
OFFICERIMEMBEREXCLUDED9 Li
(Mandatory In NH)
yes, IPTioe under D
E$<rRLPf10N OF OPERATIONS bslory
NIA
PER OT
STATUTE ER
E.LEACH ACCIDENT
E
E.L. DISEASE - EA EMPLOYE
E
E.L. DISEASE- POLICY LIMIT
S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICIAS (ACORD 101, Additional Remads Schedule, may be afLeched if more span in required)
MAR 12 2025
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BM DELIVERED IN
City Of Caldwell ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 1179
AUTHORIZED REPRESENTATIVE
Caldwell ID 83606
01988-2015 ACORD COR4111111RATTON. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD