Loading...
HomeMy WebLinkAboutScott Hedrick Construction�® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/18/2024 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 policy(les) 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 endorsementfsl. PRODUCER The Buckner Company 960 Pier View Drive, Suite A Idaho Falls ID 83402 NAME: Jessica O'Connell PHONE. 656-7925 . -365-0865Ie Exti: 208 wCNoi: 801 .cam INSURERS AFFORDING COVERAGE NAIC N INSURER A : United Fire & Casualty Company 13021 INSURED SCOT"ED-01 INSURERB. GuideOne National Insurance Com any 14167 Scott Hedrick Construction, Inc. 1154 North Orchard INsuRERc: WCF Select Insurance Company Boise ID 83706 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:710819560 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, THS 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 INSR LTR TYPE OF INSURANCE AODL SUBR POLICY NUMBER MMIDDPOLICYIYYYY MM ! DIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 60505045 6/1/2024 6112025 F,4CH DCCURRENCE $ 1 000 000 CLAIMS -MADE a OCCUR IIENIED PREMISES Ea occurrence $ 100.000 MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $ 1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $ 2 000 000 POLICY ] JEGT LOC PRODUCTS - GOMPIOP AGG $ 2 000 000 $ OTHER A AUTOMOBILE LIABILITY 605050456111,1!02s 0,1 qg COMBINED SINGLE LIMIT Ea accident $ 1 000 000 X BODILY INJURY tPer person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAR X OCCUR 60505045 51-202A 61'2025 EACH OCCURRENCE $8.000000 AGGREGATE $ 8 000 000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNEFirEXECUTIVE OFFICENMEMBEREXCLUDED? ❑ NIA 3448991 1 +:. 25 1 1d2026 X PER OTH- STATUTE iER E.L. EACH ACCIDENT $ 1 000 000 E L. D SEASE - EA EMPL OYEE $ 1.000 000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000 B ProfessionallPollution ENV56201 C1275.02 61112024 61112025 $1,DD0 000I$1 000 000 A Leased and Rented 46317055 6/1/2024 611/2025 100 00o DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is Additional Insured when requ-red by a Written Contract between the Named Insured and Certificate Holder on a Primary and Non-contributory basis per General Liability Form (CG71030717 and IL71051014) and Auto Liability Form (CA71090117 and CA04491116). Coverage for On -going and Completed Operations is provided per General Liability Form (CG71500717). Per project Aggregate applies per form (CG71030717). Waiver of Subrogation is provided when required by a Written Contract between the Named Insured and Certificate Molder per General Liability Farm (CG71030717) and Auto Liability Form (CA71090117). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cityy of Caldwell PZ Box 1179 AUTHORIZED REPRESENTATIVE Caldwell ID 83605 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD