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CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDDNM)
2 25
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 Insurance Plus
CONTACT Insurance Plus. Gallagher Affinity
NAMPHONE
Gallagher Affinity Insurance Services INC
NC. No. Exi). C. No.):
EA DRESS: sarasota.bsd.operationsGajg.00m
8430 Enterprise Circle, Suite 200
INSURERS) AFFORDING COVERAGE
NAIC IF
Lakewood Ranch, FL 34202 Sot 300-222-1110
INSURED
INSURERA: Ascot Speolety Insurance Company
23752
INSURER B:
Gina M Ramirez
INSURER C:
INSURER D:
3937 West Caragana Ct
INSURER E:INSURER
Meridian, ID 83646 Ins. # 697336
F
GUVtKAt3t5 GCKIII-IGAIt NUMtdhK: REVISION NUMBER'
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 POL CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
LTR
TYPE OF INSURANCE
INSD
O
SUSR WVD
POLICY NUMBER
fdhND
MP
MIND
LIMITS
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X
AHC2312000025-01
811512024
D811512025
EACH OCCURRENCE
$2.000.000
PERSONAL & ADV INJURY
$2,000,000
GENERAL AGGREGATE
$3,000.000
GEN'L AGGREGATE LIMB APPLIES PER:
�( POLICY ❑ EC LOC
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOSONLY AUTOS
HIRED NON -OWNED
ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Eaecddent
BODILY INJURY ( Per person)
BODILY INJURY (Paraccident)
PROPERTYDAMAGE
Per accident
UMBRELLALIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
AGGREGATE
DIED RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR - PARTNER - EXECUTIVE
OFFICERIMEMBER EXCLUDED? ❑
(Mandatory In NH)
H yes, describe wider
DESCRIPTION OF OPERATIONS below
N A A
gq
STATUTE OTH-
IER
E.L. EACH ACCIDENT
E.L. DISEASE -EA EMPLOYEE
E.L. DISEASE -POLICY LIMIT
A
OTHER Professional Liabitity
XrAHC2312000025-018115/2024
8/15/2025
Each Occurrence
Annual Aggregate
$2,000,000
$3.000,000
DESCRIPTION OF OPERATIONS ILOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Holder named below is listed as an Additional Insured for the General LlablI" policy. APR 2 3 2025
CERTIFICATE HOLDER CANCELLATION
City of Caldwell
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
PO 1179
POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Caldwell, ID 83606
11�
Jason ogers, Gallagher Affinity
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 j2016/03) The ACORD name and logo are registered marks of ACORD