HomeMy WebLinkAboutRockitecture StoneworkACORDi CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDNYYY)
1
`�
09/09/2024
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 pollcy(les) must 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
Chip Healy Insurance Agency
615 E State St
Eagle, ID 63616
NAMECONTACT Frank "Chip" Heal
PHONE 208-577.5580 IFAX
NC No): 208-577-5589
E-MAIL
ADDRESS: fhealy@farmersagent.com
INSURERS AFFORDING COVERAGE
NAIC 0
INSURER A: State National Insurance Company, Inc
12631
INSURED
Rockitecture Stoneworks LLC
4739 W Chinden Blvd.
Boise, ID 83714
INSURER : United Financial Casualty Company
11770
INSURER : Farmers Insurance Exchancie
21652
INSURERD:
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMBER: RFVISIntJ nitlulRFR-
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.
INTSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER M �pY EF EXpVAM LIMITS
GENERAL LIABILITY
EACH OCCURRENCE y1,000L000
X COMMERCIAL GENERAL LIABILITY
,
DAMAGE TOAENTED � a100 000
NRkMIStB ;-U
_
X
MUrr4r�1
CLAIMS -MADE OCCUR
MED EXP ,Any one person a 151,000
A
X
NXT9YPC97X-00-GL 08l26124 08126/25 PER=is+NAL & ADV INJURY $1 000 000
GENERAL AGGREGATE s2,000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
I PRODUCTS - COMPIOP AGG $2 000 000
POLICY PRO- LOG
--
AUTOMOBILE LIABILITY
COMBINED SIN
{Eaarcijcrn _ ;1y0-00,000
ANY AUTO
_
BODILY INJURY (Per person) $
ALL OWNED SCHEDULED
B � Auros X Auros
98533fi845 108/26/24 108/26/25
BODILY INJURY (Per accident) $
NON -OWNED
X HIRED AUTOS AUTOS
_
PROPERTY DAMAGE
Apar �dan13 J S 1000,000
s
EACH OCCURRENCE E $1 00O 000
_
X UMBRELLA LIAR I OCCUR
A
EXCESS LIAe 4 _ CLAIMS -MADE
NXT9YPC97X-00-GL 108/26/24 08/26/25
AGGREGATE s
DED RETENTION I
E
WORKERS COMPENSATION
WC STATU- IOTN-
AND EMPLOYERS' LIABILITY YIN
C
ANY PROPRIETORIPARTNERIEXECUTNE
OFFICERIMEMER EXCLUDED?
NIA
A0610$671 �05101124
05l01l25
E.L. EACH ACCIDENT
$11 OQO1 QQQ
{MandatoryInBNH}
-
E.L. DISEASE - EA EMPLOYE
$ %0001000
1f yes. describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$1 000 000
DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RECEIVF9 By
Additional Insured: City of Caldwell, P.O. BOX 1179, Caldwell, ID 83606 CALDWELL(;,IYCLERK
OEP 2024
City of Caldwell
P.O. Box 1179
Caldwell, ID 83606
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Frank "Chip" Hea
+9) 1955-ZUlU ACORIJ CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD