HomeMy WebLinkAboutCERTIFICATES - 06-00256 - Eagle Wood Subdivision - BlastingIS
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�co�ry CERTIFICAT
Rooucea
iu8-524-5721
1
OF LIABILITY INSURANC OPEC) s °Ari{���"'an^��
EAG�+E-5 052251.06
�'H15 CERTIFICATE IS ISSUED AS A MATTER O.F INFORMATION
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v/AtL1 ..�.�, vvi�rQr« rvu rcicati l b U!'UN TFI� CERTIFICATE
The Hartwell �arpn��tyon HOLDER. THIS CERTIFICATE DOES Mi]T AMEND, ��CTEHb Qin
PO Sox 5.019 ALTER THE COVERAGE AFFORDED BY THE POLICIES E3ELOW,
Idaho Falls ID X3405--1019
Phpne:208-522-556 �'ax�208-524-572�,
inrsuREa
Eagle hack Blastin Tnc
25� East Stanley S9�e€�t
Tdaho Falls 2D $441
INSURERS AFFORDING COVERAoF
INSURER : Scottsdales Co
u
INSURER 5: Continental Western
INSURER C. Tdaho State 3:nsurance Fund
INS MITER D.
7HE POLICIES OF INSUR N(;r� 0TE[ �ELOW HAVE BEEN
N' ii EI EN 'TBI +I ITI ISSUEDT TIFF INSUREDN I FEEL) ABOVE FOR THE POU Q ' PERI D IND] A7r-D, NOTWIT;A T DI
No
F T T IZ OTHER 0 0 ME T W[TH E P I T T WHICH TH IS E TIFF AT
MAY PERTAIN, THEI`�EU� F�
� � F� DED B T�I� P0 Ll ! CES E IJBEC� HE�+�I° 1' SUBJECT TO� � ME! �LI� �
P LI IE � 1 F_�1TE LIMIT SHOWN rA`� HAVE BEEN EDU ED B ��►�� LSIASL TIDE TRI M E �.l��l � t�C� �D��I�I� I� UCH
,
liR hiSRd HYPE OF INSURANCE
GENERAL 4IA$ILIiY
A COMMERCIAL C,ENERAI. LIABILITY
CLA111N$ 1ulADE OCCUR
EN"L A FiE GATE LIMIT APPLIES PE -
POLICY]_.lT I LOC
33 ANY AUTO
ALL OWN50 AUTOS
SCHEDULED ALJTQS
HIRED AUTOS
N -ED AUTOS
GARAGE uAe,urr
ANY AUTO
CXCES Sf UMBRELLA LIABILITY
OCCUR CLAIMS MADS
06DUCTIRLE
WORKERS MPENS TiC N i)
lirdIPLO ' LIADILI`iY
ANY PROP R I ETO PARTNEPJEXEC IITI 'EZ
OFF!'CEWMEMBER EXCLUDED?
If g� describe under
E i IL PROVJSIONS below
OTme
P0410Y NUMBER
BCS0012608
243093
538.2'
04/01/06
o4/vz/a6
a4/o1/06
DATE L1M, DD/Yy I LIMITS
MAIC#
EACH 0 USE S I f 0
04/01107 PREMISES �Ea Qcuurance) $1000000
MEO r P (Any 6me per.�.un) excluded
PERSONAL &. ADV INJURY 1� 000 ir 000
GENERAL AGOREGATE
COMBINED SINGLE LIMiT 04/01/071 F e a oda nl) C
BODILY INJURY
(P err person)
BODILY INJURY
(Por accida )
PROPZRTY D FAA E
(per iacc[dQnt
AUTO ONLY — EA ACCIDENT S
0THF9 THAN EHA AO's
AUTO ONLY.,
AGG
f7ACH OCCURRENCE
AGGREGATE
TORY LIMIT � ER "-I
04/01/0;7 E.L. ' I
5500000
Z.L. DISEASE - CA EMPLOYEE
E.L. ]DISEASE - POLI 4Ji'v1IT 35()0000
NS ADDED BY kN0 R E ENT / SPECIAL PROVISIONS
REI5hury Construction -- Ea 1e
CERTIFICATE HOLDER
E
City of Rexburg
PO BOX 280
i�Qxbure7 TZ1 Q 3 A d 4
acaan 25 (2001108)
N rE LL iI N
THOU LD AMY QF'THE ABOVE D ESGRiBED POLICIES 8E ANCIMILED DEFORE THE
DATC TH C , THE ISSUING INSURER WILL ENDF—A ' T MAIL 10 OAFS WRITTEN
E TO TH1Z C E -nF [CATE H 0 LDER NAM ED TO TSI E L CES", 13 [IT FA I LU RE
TO DO SO S MAL L
F15f NO DEJCJ ATION OR LIABILITY F ANY KfN D U 1`0 N THE INS URER ITS AGENTS
AUTHORIZED REPRESE JT 71 E 77 70
DeRav Per
Q ACCPo CORPORATION 1988
2
IMPORTANT
:20`8-0-24-5721
If the certificate holder is an ADDITIONAL INSURED, the pollcy('Ies) must be endorsed, A statement
on this certificate toes riot confer rights to the certlfcate holder in lieu of such endorsement(s).
If SU13ROGATION IS WAIVE,, subject to the ter -ms and conditions of the pol-fcy, certain polic'es may
require an endorsement. A statement an this certificate does. not confer rights to the certificate
holder- in fie of such iandorsement(s).
DISCLAIMER
The Gert�fEcate pf Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor dogs it
afFirmatively or negatively amend, extend or a[tQr the coverage afforded by the policies fisted th ereon,
aeoRo 25 (2001/08)
2