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HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCE - 08-00067 - Shilo Automatic Sprinklers Inc - Fire Safety CertificationACORD CERTIFICATE OF LIABILITY INSURANCE DATE ' PRODUCER (208)672-6180, Fax(208)375-8280 Cunnin ton -Leavitt Insurance Agency, Inc. 9 4 Y• 2240 Everest Lane West Suite 100 Meridian ID 83646 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Shilo Automatic Sprinklers Inc 1404 First St. North Nampa ID 83687 INSURER Lexington Ins. CO. INSURER B: Travelers Indemnity Cc S INSURERc RSUI Indemnit INSURER D: Liberty Northwest Ins. INSURER E: :FS 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. A REG kTE LIMITS SHOWN MAY HAVE BEE 4 REDUCED INSRla ADD-LIt= TYPE OF INSURANCE POLICY NUMBER DATE(M VODIIYE PDATE EXPIRATION LIMITS GENERAL LIABILITY 41 -LX -9739029-3 09/30/2007 09/30/2008 EACH OCCURRENCE $ 1,000,000 DDAEMMGETORENTED 4 100,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP (Any oneperson) $ Exclude PERSONAL S ADV INJURY 0 1,000,000 X Professional Liab DESIGN SRVS ENDORSEMENT GENERNLAGGREGATE $ 2,000,000 GENT AGGREGATE U MIT APPLIES PER: p AGG $ 2,000,000 POLICY X JEReT F1 LOC AUTOMOBILE X LIABILITY ANY AUTO BA734SC427 09/30/2007 09/30/2008 COMBINED SINGLE LIMIT (Ea amiden0 $ 1,000,000 BODILYINJURY (Per person) B H ALLOWNEDAUTOS SCHEDULED AUTOS BODILYINJURY 6 (Per acciden() X X HIREDAUTOS NON-OWNEDAUTOS PROPERTY DAMAGE B (Peraoddent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA AC ANY AUTO AUTO ONLY: A 9 EXCESS/UMBRELLA LIABILITY NE1,041396 09/30/2007 09/30/2008 EACH OCCURRENCE 4 1,000,000 X1 OCCUR FICLAIMS MADE AGGREGATE $ 1,000,000 8 C DEDUCTIBLE RETENTION D WORKERS COMPENSATION AND WC41NCO16311017 10/01/2007 10/01/2008 MTATU- 1. OT - EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE 10 Day Notice of Cancel E.L. EACHACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYEES 1,000,000 OFFICERIMEMBER EXCLUDED? If yes, desatbe under SPECIAL PROVISIONS below Applies to Work Comp E.L. DISEASE -POLICY LIMIT 1,000,000 OTHER DESCRIPTION OF OPERATIONWLOCATIONSNEHICLEVI CLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Proof of Coverage CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001/08) INS025 ptoe).oea @ ACORD CORPORATION 1988 Page 1 of 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Shilo Automatic Sprinkler Inc EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1404 First St. North 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Nampa, ID 83687 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHOmZED REPRESENTATIVE Sarah Beesley/SABEES ACORD 25 (2001/08) INS025 ptoe).oea @ ACORD CORPORATION 1988 Page 1 of 2