HomeMy WebLinkAboutTEC ServicesACORU® CERTIFICATE OF LIABILITY INSURANCE
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DATE(MMIDDNYYY)
3/24/2025
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(ies) 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 endorsement(s).
PRODUCER
Western Community Ins Co
PO BOX 4848
CONTACT
NAME; CHAVERS CODY CAT
PHONE 208-401-01 2 Fn C Not 208"232-3608
EMAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAICB
Pocatello, ID 83205-4848
INSURER A : Western Community Ins Co
39519
INSURED
111tlrllilllllllllllllllilloll ll
T.E.0 SERVICES LLC
INSURER B
INSURER C
INSURER D:
2133 W LINDEN T
CALDWELL ID 3605
INSURERE:
INSURER F :
COVERAGES CERTIFICATE NUMBER: RFVISION NUMRFR. 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,
ILTR NSR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
MhVDDDIIYYYY7MMIDD1"Y/YYY'PY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
Y
Y
BS46o401
7/26/24
EACH OCCURRENCE
S 1 00Q000
PREMISES Ea occurrence
$ 100 000
MED EXP (Any one person)
$ 1Q000
PERSONAL & ADV INJURY
S 1 000 000
GENERAL AGGREGATE
S 2,000,000
GEML AGGREGATE LIMIT APPLIES PER:
X POLICY PRO-
JECT
PRODUCTS - COMPIOP AGG
S 2 000 000
S
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
COMBINED SINGLE LIMIT
Es accident
$
BODILY INJURY (Per person)
$
BODILY NJURY (Pe(accident)
$
PROPERTY t DAMAGE
Per...Z
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
Y
N
uS4604O3
6/05/24
7/26/25
EACH OCCURRENCE
$ 4 OOO Q00
AGGREGATE
$ 4,000,000
DED RETENTIONS 10,000
$
NrORKER3 COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORIPARTNEPJEXECU7NE
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
If yes• describe under
DESCRIPTION OF OPERATIONS below
N I A
WC STATU• OTH-
TORY I WITS FIR
E.L. EACH ACCIDENT
$
E.L. DISEASE • EA EMPLOYE
$
F L DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORO 101, Additional Remarks Schedule, If more space Is required)
Refer to IDCG 236(03/07) Exclusion of Coverage for Structures Built Outside of
Designated Areas Endorsement - Copy attached. W
APR 0 1 2025
L.crcttrn.nrr= rrvr_ur_rc
Ilrtlrtrllrtllrrllrtrritltlrtltllrttrtlltrllrrtrtill
CITY OF CALDWELL
4814QE LINDEN ST
CALDWELL ID 83605
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
ACORD 25 (2010105) ®1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD