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HomeMy WebLinkAboutLong Shot EnterprisesACC)Rbr `� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 1031-2024 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 poliey(iss) 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 GUNTAUT NAME: Aimee Delavan Infinity Insurance Group P14ONE FAX AIc No E.t : (208) 773-7531 AIC, No): 755 N Regal Ct ADDRESS: aimeeGinfinityinsgroup.coln INSURER(S) AFFORDING COVERAGE NAIC lF Past Falls ID 83854 INSURERA: KINSALFs INSURANCL COMPANY 38920 INSURED INSURER 8 : LM Insurance Corporation 33600 Lang Shut I:ntcrhn.cs. LLC, Malinke Solutions, I.I.0 INSURER C : and 69 Dcfcnse, 1.1-C INSURER D : 40R0 W GRANGE AVE INSURER E : POST 1•ALLS ID 83854 INSURER F: C:UVCKA(9tS CERTIFICATE NUMBER' RFVICIffIJ Mllu laco. 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. LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER MMIDDIYYYY MM1DDlYYYY LIMITS x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person} $ 5,000 PERSONAL a ADV IN-URY$ 1,000,000 A Y 01001212314 07 17 2024 07 172025 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT 7 LOC ROTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS COMPrOP AGG $ 2,000,040 $ AUTOMOBILE LIABILITY COMbINI=U WNtaLt LIMI I$ (Ea accident ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON-OWNEb AUTOS ONLY AUTOS ONLY (Per accident)$ x UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE 0100199108-2 07 172024 07 17'2025 AGGREGATE $ 4,000,000 DED I RETENTION$ $ H WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N Y PROPRIETORIPARTNERIEXECUTIVE FFICERIMEMBEREXCLUDED? Mandatory In NH) f ppes, describe under ESCRIPTION OF OPERATIONS below N/A 11-15628-24100-325393 04.'09r2024 04/09/2025 STATUTE X ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,04U E.L. DISEASE POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RECEIVED BY Certificate holder is named as additional insured. CALDWELL CITY CLERK NOV 0 4 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. P.O. [lox 1179 AUTHORIZED REPRESENTATIVE AV�re Defnyo�, Caldwell ID 83606 ©1980.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD