HomeMy WebLinkAboutDirtpro LLCacoR1® CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
D911612024
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: Anna Scott
Ballenger Insurance RECEIVED BY
PHONE M. N o. Eat (208) 466-8944 A(AJNo : (208) 465-0539
P O BOX 450 CALDWELL CITY CLERK
ANNA(@BALLENGERINSURANCE.COM
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC f!
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NAMPA SEP jW4
INSURERA: AUTO -OWNERS INSURANCE COMPANY
f I4
INSURED
INSURERB: AMTRUST
DIRTPRO LLC
INSURER C :
PO BOX 1361
INSURER D :
INSURER E:
NAMPA ID 83653
INSURERF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMRFRr
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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
TR
TYPE OF INSURANCE
INSD
WVD
POLICYNUMBER
MWDPOL1DIYYYYI
JMWDDffYYY)LIMITS
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ®OCCUR
EACH OCCURRENCE
$ 1.000,000
PREMISES(Ea omurrance
$ 300.000
MED EXP {Any ons person)
S 10.000
PERSONAL& ADV INJURY
$ 1,000.000
A
57366749
08/21/2024
08/21/2025
GEN'LAGGREGATE LIMIT APPLIES PER:
POLICY " PRO -
POLICY ❑ LOG
GENERAL AGGREGATE
3 2,000 000
PRODUCTS -COMPfOPAGG
$ 2.000 000
$
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE tIMI
Ea accident)
$ 1,000,000
IJOMi V INJURY IPer personi
s
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
5401996200
08/21/2024
08/21/2025
BODILY INJURY (Per accident)
S
X HIRED IxNON-OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
S
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
S 5.000.000
A
EXCESS LIAR
CLAIMS-MAOE
5401996201
08113/2024
08121/2025
AGGREGATE
$ 5000,000
DED I I RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE Y f N
OFFICERIMEMBEREXCLUDED7
(Mandatory In NH)
If Yes, destAbe under
DESCRIPTION OF OPERATIONS below
NIA
TWC4183417
111D112D23
11101/2024
X1 STATUTE ER
E L. EACH ACCIDENT
$ 1000.000
E L DISEASE - EA EMPLOYEE
$ 1.000.000
E L DISEASE - POUCY LIM T
$ 1.000.000
RENTED EQUIPMENT
ACV LIMIT:
$500 000
A
57366749
08121/2024
OW112025
DED:
$1000
DESCRIPTION OF OPERATIONS! LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
LR-It 11AL UsRIPWR lYil
CITY OF CALDWELL
411 BLAINE ST
CALDWELL
ID 83605
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
91988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD