HomeMy WebLinkAboutTEC Services LLCACCWE) CERTIFICATE OF LIABILITY INSURANCE
�./
DaTE(MMrob1YYYY)
2/20/2025
THIS CERTIFICATE 1S 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(tes) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terns 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
Western Community Ins Co
PO Box 4848
CONTACT
NAME; CHAVERS CODY CAT
PHONE 208-40 -01 2 FAX 208-232-3608
AIC No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC a
Pocatello, ID 83205-4848
INSURER A: Western Community Ins CO
39519
INSURED
II11 I11IIIIIIIIII IIIIII IIIIIIIII
T.E.0 SERVICES LLC
INSURER B :
INSURER C:
INSURERD:
21 W LINDEN T
CA DWELL ID 3605
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:AF0670
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.
INSR
LTRPOLICY
TYPE OF INSURANCE
ADDL
SUBR
NUMBER
POLICY EFF
MWDDIYYYY
POLICY EXP
MMIDDPMY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE E� OCCUR
Y
Y
8S460401
7/26/24
7/26/25
EACH OCCURRENCE
$ 1,000,000
79MAM: TO RE
PREMISES JEa occurrence
S 100,000
MED EXP (Any one person)
S 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
%( POLICY PRO, LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS ALTOS
NON -OWNED
HIRED AUTOS AUTOS(Per
COMBINED SINGLE LIMIT
Ea accent)
$
BODILY INJURY (Per person)
$
r
BODILY INJURY (Per accident)
$
PReOaPER�e'DAMAGE
P
$
$
A
X
UMBRELLA LIAR
EXCESS LIAB
i(
OCCUR
CLAIMS -MADE
Y
N
7
US460403
6/05/24
7/26/25
eACH OCCURRENCE
$ 4,000,000
AGGREGATE
S 4 000 000
DED I RETENTIONS 10,000
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORIPARTNEWEXECUTIVE
OFFICERIMEMSER EXCLUDED? F7
(Mandatory in NH)
N yes, describe under
DESCRIPTION OF OPERATIONS below
N I A
VaG STATU- OTH-
E L EACH ACCIDENT
$
E L DISEASE - EA EMPLOYE
$
E L DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required)
Refer to IDCG 236(03/07) Exclusion of Coverage for Structures Built Outside of
Designated Areas Endorsement - Copy attached. FEJ 25 2025
11181111111811111111111 III 111111111111 111111 11111111
CITY OF CALLDWELL
48]40E LINDEN ST
CALDWELL ID 83605
:lef3S�tt�loli.
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
ACORU Z5 (2U1U1U5) 01983-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD