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AC'ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDMYY)
11 /512024
THIS CERTIFICATE 1S 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 endorsements .
PRODUCER C NTACT Annie Nguyen
MEm
The Hartwell Corporation PHONE FAX
PO Box 400 A/C, No, 61 : (208) 459-1678 AIC, No):
Caldwell, ID 83606 ADDRESS: Annie@thehartwellcorp.com
INSURED
J-U-B Engineers, Inc.
2760 W Excursion Ln, Ste 400
Meridian, ID 83642
Travelers
Comoanv of America
:OVERAGES CERTIFICATE NUMBER: 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ISR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1100010
CLAIMS -MADE FA] OCCUR X X 6802R22997A 8/112024 8/1/2025 DAMAGE TO RENTED $ 1,000,0
renoe)MED EXP (Any one personl, $ 10,0
DrDerwAl Y AMI iu a iov a 1100010
L AGGREGATE LIMIT APPLIES PER:
POLICY [X] j0p7 LOG
B
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
SSyy ED
H"R ONLY AUTOS ONLY
AU
X
X
BA812008954
CUPICS47849
UBBK158532
8/1/2024
81112025
COMBINED SINGLE LIMIT
$ 1
X
BODILY INJURY Perperson)
$
BODILY INJURY Per accident
$
Per a cid Y AMAGE
er accident
$
B
X
UMBRELLA LIAR X
EXCESS LIAB
OCCUR
CLAIMS -MADE
X
81112024
8/112025
EACH OCCURRENCE
9
—TOED
AGGREGATE
$ 9
I X I RETENTION$ 10,000
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETBO�R�IPARTNEWEXECUTIVE YIN
{Nand tory n NH) CLUDED? �N
11 yes describe under
DESCRIPTION OF OPERATIONS below
NIA
X
6/112024
8/112025
X PER OTH-
E.L. EACH ACCIDENT
1
S
E.L. DISEASE - EA EMPLOYE
1
E.L. DISEASE - POLICY LIMIT
1
C
D
Professional Liabili
Cyber Liability
DPR5025296
IRPS-P-1202753M
412/2024
411612024
412/2025
4/1612025
Each Claim/Aggregate
EachClaim/Aggregate
5
3
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
RFP - Comprehensive Plan Update City of Caldwell Planning and Zoning Department RECEIVED BY
CALDWELL CITY CLERK
City of Caldwell, Purchasing
P.O. Box 1179
Caldwell, ID 83606
NOV O 8 2024
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WI L BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
9
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