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Home My WebLink AboutJoseph Grubiak.4`oRv® CERTIFICATE OF LIABILITY INSURANCE �o QMw 02/2024 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 cartlNNxNte holder is an ADDITIONAL INSURED, the policy(ias) must have ADDITIONAL INSURED provisions or be endorsed. H SUBROGATION IS WANED, subject to the farms and conditions of the policy, certain policies may require an endorsement. A statement on this cefflficate does not confer rights W the cartlticate holder In lieu of such endorsements. PRODUCER Hoodenpyle Insurance Agency 2976 E Overland Road, Suite 120 Meridian. ID 83642 I CXMYAGT Amanda Hoodenpy[e PHONE 20&900-3505 me,FAX 208 893-2141 EMAL ADORE hoodenpyleagency@idtbins.com g%yRMAFFORDING COVERA13E NAIL d INSURER A: Farm Bureau Mutual Insurance Company of Idaho 13765 IN811RED JOSEPH R GRUBIAK HOLLY N HATTAN 24811 LEMP LN PARMA ID 83660 nNsuREas INSIIR ffl c : lKwAtm O : IINSURM E, INSUMB F , COVERAGES 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. gNBR TYPE OF INSURANCE POLICY NUMBER NNMCWYYYYI POLICY EFF POLICY ExP LWITS A COMMERCIAL43ENERALLIABSJTY CLAIMS -MADE 21 OCCUR Farm Liability 01-150033-01 0713D/2024 07130/2025 EACH OCCURRENCE S 500.E PREMISES WAoanarenoe MED EXP (Any one paean) $ 5,000 )( Personal Liability PERSONAL L,ADVINJURY $ GENL AGGREGATE LIMIT APPLIES PER POLICY ❑ JPERCOT- ❑ Loc OTHER GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG i = A AUTOMOBILE LIABILr1Y ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AHIRED UTOS ONLY O IVN UTOS A coMINNEDSIARTTRIN: BODILY INJURY (Per person) S BODILY INJURY (Par accident) S PROPERTY DAMAGE S i A UMSRELLALIAS Excm um OCCUR CLAIM&MADE EACH OCCURRENCE $ H. AGGREGATE $ DIED I I RETENTION $ A WORICEJIS COMPENSATION AND EMPLOYERS' LIABILnY Y 1 N ANPOFFKZRAW IWREXCLUDED4 ❑ (Mandatory In RM I deeoEs under DESCRIPTION OF OPERATIONS belay NIA PER THI- STATUTE ER EL,FACHACCIDENT $ EL. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I Y@OCIJBs (ACORD 101, Add broad Re w 1w 8dndu* mar be if mom Spam la requited) RECEIvcO By Location: 5515 Aviation Way #911 r AtDVVKL L., IY CLfRR AUG } 2 20i CITY OF CALDWELL PO BOX 1179 CALDWELL ID 83606-1179 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE YARN THE POLICY PROVISIONS. Amanda Hoo&nvvle 01988-2015 ACORD CORPORATION. All rights ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD