HomeMy WebLinkAboutHeath Specialty PrecastACORO® CERTIFICATE OF LIABILITY INSURANCE
DATEIMMIDDIYYYY)
09120/2024
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
CONTACT JOHN BALLENGER
NAME:
BALLENGER INSURANCE
H No Eat : (2tl8) 466-8944 FAX
No : (208) 465-0539
P O BOX 450
E-MAIL ADDRESS: JOHN BALLENGERINSURANCE COM
INSURER(S) AFFORDING COVERAGE
NAIC N
NAMPA I❑ 83653
INSURER A: AUTO -OWNERS INSURANCE COMPANY
INSURED
INSURER B : WESCO INSURANCE COMPANY
LUDLOW COMPANIES LLC, DBA: HEATH SPECIALTY PRECAST
INSURERC:
3906 E BOURBON LN
INSURER D :
INSURER E:
NAMPA ID 83687
INSURER F :
COVERAGES CERTIFICATE NUMRER: CL2371203791 RFVlginN NIIMFIFR•
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.
ILTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MM p POLICY EFF
MMIDPOLICY EXP
LIMITS
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
S 1,000,000
DAMAUE TO RENTED- PREMISES Ea occurrence
$ 300,tl00
MED EXP (Any one person)
$ 10,000
PERSONAL S ADV INJURY
S 1.000,000
A
Y
Y
57406578
07/25/2024
07125l2025
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑X PRO-
JECT LOC
GENERAL AGGREGATE
$ 2.000,000
PRODUCTS -GOMPIOPAGG
S
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
S 1,000,000
X ANY AUTO
BODILY INJURY (Per personl
S
A
OVANEO SCDULED
AUTOS ONLY AUTOHES
54-635388-00
07/2512024
07/25/2025
BODILY INJURY (Per accident)
$
HIRED NON-0WNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
S
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
S 1,000.000
AGGREGATE
$ 1,000,000
A
EXCESS LIAB
CLAIMS -MADE
54-635388-01
07/25/2024
07/25/2025
OED I I RETENTION S
S
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y
ANY PROPRIETORIPARTNERIEXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
NIA
WWC3724817
07101/2024
0770112025
v PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E-L. DISEASE - EA EMPLOYEE
S 1.000.000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is V%�MViIELL CITY CLERK
OCT 2 9 2024
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CITY OF CALDWELL ACCORDANCE WITH THE POLICY PROVISIONS.
PO BOX 1179
AUTHORIZED REPRESENTATIVE
CALDWELL ID 83606r.
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD