HomeMy WebLinkAboutAll Together Now Block Party Madison Library cert (2).pdfSection
Number
Type of Insurance
-Coverage Form
Date
Added
Expiration
Date
V
VIII
VII
VI
PROPERTY INSURANCE 1. Buildings, Structures and Property
2. Mobile Equipment and Vehicle Physical Damage
Per valuation clause within policy
Limits
For Claims Pursuant
to Title ,Ch.9, Idaho
All Other Covered
Liability Claims
GENERAL LIABILITY Each Occurrence
AUTOMOBILE LIABILTY 1. Automobile Liability
2. Automobile Medical Payments
3.Uninsured Motorist
Each Accident
Each Person
Each Accident
CRIME INSURANCE 1. Employee Dishonesty
2. Loss Inside Premises
3. Loss Outside Premises
4. Policy in Lieu of Public Officials
Surety Bond
Notary Bond
Each Occurence
Each Occurence
Each Occurence
Each Occurence
Each Occurence
$500,000
$500,000
$50,000
$25,000
Certificate Holder:
ICRMP 21/22
CERTIFICATE OF INSURANCE
Agent for Public Entity: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 policy
below. This certificate of insurance does not constitute a contract
between the issuing insurer, agent and the certificate holder.
PROGRAM AFFORDING COVERAGE:
Idaho Counties Risk Management Program, Underwriters
P. O. Box 15249
Boise, ID 83715
This certifies coverages listed below are issued to the above member for the time period indicated, notwithstanding any requirement, term or
condition of any contract or other document with respect to which this certifcate 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.
ICRMP Member:
Issue Date:
Authorized Representative
Cancellation
Should any of the above described policies be cancelled before the expiration date thereof, notice
will be delivered in accordance with the policy provisions-30 days minimum
Sandy Moser
Policy
Number
Each Person
Each Accident
$100,000
Property Deductible
(except flood/quake):
$300,000
$5,000
$100,000
-OCCURRENCE
-OCCURRENCE
-OCCURRENCE
1.General Liability
-OCCURRENCE
IX LAW ENFORCEMENT
LIABILITY -OCCURRENCE
1. Law Enforcement Liability Each Occurrence $500,000
X ERRORS/OMISSIONS
LIABILITY -CLAIMS MADE
1. Errors Omission Liability Each Claim $500,000
XI EMPLOYEE BENEFITS
LIABILITY
1. Employee Benefits Liability Each Claim $500,000
XII EMPLOYMENT PRACTICES
LIABILITY
1. Employment Practices Liability Each Claim $500,000
XIV SEXUAL
MOLESTATION/ABUSE
LIABILITY -CLAIMS MADE
1. Sexual Molestation/Sexual Abuse
Liability
Each Claim $500,000
-CLAIMS MADE
-CLAIMS MADE
XV CYBER PRIVACY or SECURITY
ENDORSEMENT -CLAIMS MADE
1. Cyber Privacy or Security Event
Endorsement
Each Claim $1,000,000 $1,000,000
Description of Operations/Locations/Vehicles/Restrictions/Special Items:
$100,000
$1,000
$250,000
$250,000
$250,000
5/18/2023
PO Box 280
10/1/2023
For above described item, coverage both for property damage & liability arising from Insured. If Certholder is named as party to lawsuit solely due
to relationship with Insured & not as result of its own conduct, we will accept tender of defense, until liability determination. Certholder as Loss
Payee as their interest may appear.
Summer Reading Block Party
Rexburg, ID 83440
$3,000,000
City of Rexburg
Rexburg, ID 83440
5/18/2023
135 W Main
Rexburg, ID 83440
73 N Center
$3,000,000
$100,000
Madison Library District
$300,000
Archibald Insurance Center, Inc.
$5,000
Gary Archibald
$3,000,000
$3,000,000
$3,000,000
$3,000,000
$3,000,000
42A07035100122