HomeMy WebLinkAboutKelly JeffreyCERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY)
7/29/2024
THIS CERTIFICATE IS 168UED 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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: it the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the lemma and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certlltcate holder In lieu of such endorsement ).
PRODUCER CARON KE£FAN
Western Community Ins Co PHONE
Po Box 4848 E ax.fv>: 208-618-2085__ �P(
Pocatello, ID 83205-4848
INSURERA: Western Community Ins Co 39519
INSURED `
INSURER B:
I KELLY JEFFREY I JI Ilf 1111 If 1111 11 Ill lfl 1 11 INSURERC:
KELLY CATHERINE INSURERD:
LIGHTNING W RANCUy RO INSURER E:
ASHOE VALLEY NV U9704
INSURERF:
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THIS 16 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE
FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT
TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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ALL THE TERMS,
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TYPE OPINSUMNCEI��C1-- �L j� E
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DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORO 101, AddHlanal Ramar$a Schedule, A more space Is raqui ed)
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608 DISHMAN PLUS #226 i#236 ##237 AVIATION WAY
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CITY OF CALDWELL
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SHOULD ANY OF THE ABOVE DESCRIBED POLIC(NS BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL 9E DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
4 14 E LINDEN Sr AUTHORIZED REPRESENTATIVE
CALDWELL 10 816
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