HomeMy WebLinkAboutEthan Feuerborn,a►co►�d CERTIFICATE OF LIABILITY INSURANCE
07/02/2o� a 1
PRODUCER
THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION
Cody Walgamott - State Farm Insurance
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2242 E Riverwalk Dr STE 220
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Boise, ID 83706
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
W)
INSURERS AFFORDING COVERAGE
NAIC N
INSURED
FEUERSORN, ETHAN
INSURER&State Farm Fire and Casualty Company 25143
2514,
INSURERS
1114 N 21ST ST
INSURERC.
BOISE ID 83702-3217
INSURER D:
INSURER E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVNTHSTANDING
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
6R
AD
POLICY EFFECTIVE
POLICY EX RATION
Lilt
dl
TYPE OF INSURANCE
POLICY NUMBER
DATE M
DATE (MMtDDrM
LIMITS
ERAL LIABILITY
EA H RRENC
PREMISES Ea ocwRrarce
COMMERCIAL GENERAL L1ABgJ1Y
CLAIMS MADE OCCUR
MED EXP Wny one
PERSONAL a ADV INJURY
ENERAL
GEN'LAWREGATE LIMITAPPLESPER
PRODUCTS-COMPIDP AGG
PRO-
POUCY E T Loc
NOBLE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
S
BODILY INJURY
tPer person)
i
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Par accidend)
$
HIRED AUTOS
NON-0WNED AUTOS
PROPERTY DAMAGE
tiler accident)
S
GARAGE
LIABRITY
AUTO ONLY — EA ACCIDENT
OTHER THAN EA ACC
ANY AUTO
AUTO ONLY
AGG
EXCESSIUMBRELLALIABIUTY
OCCUR FICLAIMS MADE
EACH OCCURRENCE
3
AGGREGATE
DEDUCTIBLE
RETENTION 3
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
VyC STATI}
ORY TNS
OTH
ER
E.L. EACH ACCIDENT
ANY PROPRIETORIPARTNEWEXECUTIVE
OFFICERIMEMBER EXCLUDED?
N yas eeecrae uTear
SPE PR
EL DISEASE - EA EMPLOYEE
E.L. DISEASE -POLICY LIMIT
x
OTHER
Homeowners Liability
12-BL-D329-9
07/1412024
07/14l2025
9500,000/occ
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
The Homeowners liability does extend to other property owned or rented to the insured for personal
purposes and would extend to his interest in 5125 aviation Way #818 Caldwell, ID 83605. The policy does no
carry an aggregate annual limit and so would meet the minimum $1,000,000 limit
11112ei=[:i112LK.Alla:Le111e14: N_1:lei :IIW�g1191
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
f' II II
+4 �;:
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL —
S'i DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO Sd SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY MND UPON THE
INSURER. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE �7
Cody Walgarnott
rs+..c q4 " tswv Irvvy Trim itrUmnreuvn rrvuLam intmoma uwrxnsniP vT U19 rnarrs Dy Ineu s 6 res;mmye ownerLUUKLrL.L KM -VPI A IkVN I"tF, #4Uf
132849 03-13-2007 All rights reserved