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Home My WebLink AboutWilliam LaxsonA� " CERTIFICATE OF LIABILITY INSURANCE DATE(1951momYY) 08/08/2024 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 pollcies 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 Insurance PO Box 4848 Pocatello ID M05 UORTW Jason Gardner PHONE 208-401-0132 FAX 008L INSURER(M AFFORDING COVERAGE NAIC f INSURERA: Western Community Insurance Company 39519 INSURED William Laxson 11901 WoodBOurne Cir Anchorage AK 99516 INSURER B : INSURER C : INSURER D: INSURER E : 1 INSURERF: COVERAGES CERTIFICATE NUMBER: 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, 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 TYPEOFWSURANCEADO UOR pOLICYNUMBER P 1 EFF M POLICY EXP MWDDIYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,060,000 CLAIMS -MADE FRI OCCUR DAMAGE TO RENTEO PREMISES Es occurrence S 100,000 MED FXP (Any oneperson) ; 10,000 PERSONAL&ADV1NJURY ; 1,000,000 A N N 8WO32304 08/23/2024 0812312025 GENERAL AGGREGATE ; 2,000,000 GENE AGGREGATE LIMIT APPLIES PEP: MPOLICY ❑ JECT LOC S INCLUDED PRODUCTS-GOMPIOPAGG S OTHER: AUTOMOBILELIABtLIrY COMBa IINEEntSINGLELIMIT(Ea y BODILY INJURY (Per person) ; ANY AUr0 A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) ; PROPERTY DAMAGE Per eczldonl IS 'S U111BRELIALIA6 HOCCUR FACHOCCURRENCE ; AGGREGATE ; A EXCESS LIMB CLALMS-MADE DED I I RETENTIONS S WORKERS COMPENSATION AND FMPLOYERS' LIABILRY YIN ANYPROPRIErOPJPARTNERIEXECUTNE OFFICE RIMEMSEREXCLUDED7 (Mandatory In NH) NIA S ATUTE ER E.L. EACH ACCIDENT ; E.L. DISEASE -EA EMPLOYEE S E.LDISEASE -POLLCYLIMIT ; If yyea, desalbe under DESCRIPTI0 OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORD 101, Addillonal Remarks Schedule, may be attached U more space Is required) �., tincCc �u,WELL "� GLcin 4407 Aviation Way #376 DRUG 2 7 2024 CEKIIHGATL HVLUCK t;ANL;eLLAIIVIv SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Caldwell Airport ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 AUTHORIZED REPRESENTATIVE / Caldwell ID 83606 Ifi 908.2015 AICORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD