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HomeMy WebLinkAboutMSU-26-0061 B. StrobelE IDIAN:--- City Clerk's Office MOBILE SALES UNIT LICENSE or to Door) Application THIS APPLICATION SHALL NOT BE CONSIDERED COMPLETE UNTIL STAFF HAS RECEIVED ALL REQUIRED INFORMATION. Applicant: Benjamin Strobel File #: M51;A"'2�(? Date complete application fecelveuA . BD Date license issued or denied: Applicant ✓ APPLICATION REQUIREMENTS: start' ✓ Completed Mobile Sales Unit License (Door to Door) Application Color copy of valid driver's license or government issued identification card 211x 2" Color photograph of applicant Proof of general liability insurance policy - see attached example • Names City of Meridian as additional insured • $500,000.00 per person bodily injury • $500,000.00 per occurrence bodily injury • $100,000.00 per occurrence property damage Proof of Motor Vehicle Insurance Proof of Central District Health approval/permit (if applicable) — Application fee - $73.25 ✓ Fingerprints taken in City Clerk's Office at time of application. • City Clerk staff will provide applicant with Privacy Statement, STAFF USE ONLY: Meridian Police Department approval/background check Meridian Attorney's Office approval Meridian City Clerk's office — 33 E. Broadway Ave. —Meridian, Idaho 83642 Phone: 208-888-4433 — email: cityclerk(a�meridiancity.org — website: www.metidiancity.org (Updated 2/26) ZE IDIAN -- APPLICANT INFORMATION Applicant Name: Benjamin Strobel Applicant Address: 6672 W Windshear St E-mail: Ben@meadowpest.com Employer: Meadow Pest Control Employer E-mail Address: Employer Address: 6672 W Windshear St, Meridian, ID 83646 Fax Identification Number$ 994513334 City Clerk's Office MOBILE SALES UNIT LICENSE or to Door) Application Phone: 2089700285 Driver's License state/number: GC216262J Phone: 208-428-8120 ben@meadowpest.com Idaho agent for service of process (pennon responsible fo�recerni�zg legal documentation on Applrcant's belra�: Benjamin Strobel List all infraction, misdemeanor or felony arrests/charges and dispositions (conviction, acquittal, or dismissal), including any probation violations and/or bail forfeitures: DESCRIPTION OF OPERATIONS N/A Dates, hours, and locations of operation: April 2026-April 2027, 10am-7pm M\r%�,._ Products) to be sold/offered for sale: Residential/Commercial Pest Control Form(s) of transport to be used in operation, traveling, and/or sales: Truck Complete for any and all motor vehicles (attach additional pages if'necessary): License plate state and number Malce Model Color RIVRCH FORD F-150 WHITE Meridian City Clerk's Office — 33 E. Broadway Ave. Meridian, Idaho 83642 Phone: 208-888-4433 -email: ciryclerk(�meridiancity.org-Fvebsite: www.meridianciry.org (Updated 1/22) ZE IDIAN:--- City Clerk's Office MOBILE SALES UNIT LICENSE or to Door) Application THIS APPLICATION SHALL NOT BE CONSIDERED COMPLETE UNTIL STAFF HAS RECEIVED ALL REQUIRED INFORMATION. Applicant: Benjamin Strobel File if: Mai -2.0 -- VU' Date complete application ri ed: Date license issued or denied: Applicant ✓ APPLICATION REQUIREMENTS: Staff ✓ Completed Mobile Sales Unit License (Door to Door) Application Color copy of valid driver's license or government issued identification card 211x 2" Color photograph of applicant Proof of general liability insurance policy - see attached example • Names City of Meridian as additional insured ® $500,000.00 per person bodily injury • $500,000.00 per occurrence bodily injury • $100,000.00 per occurrence property damage Proof of Motor Vehicle Insurance Proof of Central District Health approval/permit (if applicable) — Application fee - $73.25 ✓ Fingerprints taken in City Clerk's Office at time of application. • City Clerk staff will provide applicant with Privacy Statement. STAFF USE ONLY: Police Department approval/background check LMeridian eridian Attorneys Office approval Meridian Ciry Clerk's Office — 33 E. Broadway Ave. — Meridian, Idaho 83642 Phone: 208-888-4433 —email: cityclerk(a,meridiancity.or�—website: www.meiidiancity.org (Updated 2/26) ZMIE IDIAN�-- APPLICANT INFORMATION Applicant Name: Benjamin Strobel Applicant Address: 6672 W Windshear St E-mail: Ben@ mead owpest.com Employer: Meadow Pest Control Employer E-mail Address: Employer Address: City Clerk's Office MOBILE SALES UNIT LICENSE or to Door) Application Phone: 2089700285 Driver's License state/number, GC216262J ben@meadowpest.com Phone: 208-42$-8120 6672 W Windshear St, Meridian, ID 83646 Tax Identification Number: 99-4513334 Idaho agent for service of process (pefson re,rporr.rible for receiviizg legal rlocufrierztcationon ,4�plr�em2t's beha�: Benjamin Strobel List all infraction, misdemeanor or felony arrests/charges and dispositions (conviction, acquittal, or dismissal), including any probation violations and/or bail forfeitures: N/A DESCRIPTION OF OPERATIONS Dates, hours, and locations of operation: april 202&april 2027, 10am-7pm Product(s) to be sold/offered for sale: Residential/Commercial Pest Control Fortn(s) of transport to be used in operation, traveling, and/or sales, Truck Complete for any and all motor vehicles (attach additional pages if necessary): License plate state and number Malce Model Color RIVRCH FORD F-150 WHITE Meridian Ciry Clerk's Office — 33 E. Broadway Ave. —Meridian, Idaho 83642 Phone: 208-888-4433 —email: ciryclerk(�meridiancity.org—website: www.meridiancity.org (Updated 1/22) PROGRESSIVE P.O. BOX 31260 TAMPA, FL 33631 NAIC Company Code: 16322 Verification of 1 nsurance for BENJAMIN STROBEL YMf AWIL/At DIRECT Auto Policy Number: 978794613 Underwritten by: Progressive Direct Insurance Co Policyholder: BENJAMIN STROBEL Page 1 of 1 April 912026 Customer Service 1-8004764737 24 hours a day, 7 days a week This verification of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this verification of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of the policies. Please accept this letter as verification of insurance for this policy. Policy and driver information Policy number: 978794613 Policy state: Idaho Policy period: Mar 16, 2026 - Sep 16, 2026 There was no lapse in coverage during this policy. period. Effective date: Mar 16, 2026 Drivers: BENJAMIN STROBEL James C Strobel Excluded Zachary A Strobel Excluded John STROBEL Excluded ........... Jan STROBELExcluded ............................................ Address: 6672 W Windshear St Meridian, ID 83646 Vehicle information Vehicle: 2021 FORD F150 HYBRID Vehicle identification number: 1FTFW1ED2MFA54316 Coverage information Liability To Others Bodily Injury Liability $100,000 each person/$300,000 each accident Property Damage Liability $100,000 each accident Comprehensive Actual Cash Value Deductible: $750 Collision Actual Cash Value Deductible: $750 form V01(07/13) CERTIFICATE OF INSURANCE ISSUE DATE 4/2/2026 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 Mason Crapo 106 W 500 S Ste 100 Bountiful, UT 84010 INSURER(S) AFFORDING COVERAGE INSURER A: Western World Insurance Company INSURER B: N/A INSURED Elite Pest Control LLC dba Meadow Pest Control 615 Castlerock Lane Idaho Falls, ID 83404 INSURER C: INSURER D: Western World Insurance Company INSURER E: N/A COVERAGES 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS A GENERAL LIABILITY NPP1669793 9/3/2025 9/3/2026 GENERAL AGGREGATE 21000,000 Included 11000,000 11000,000 100,000 51000 PRODUCTS-COM/OP AGG, PERSONAL & ADV. INJURY EACH OCCURRENCE DAMAGE PREM RENTED TO YOU MED EXPENSE (Any one person) B PERSONAL LIABILITY COMBINED SINGLE LIMIT MEDICAL PAYMENTS TO OTHERS C EXCESS LIABILITY EACH OCCURRENCE AGGREGATE D Property Damage Coverage Extension NPP1669793 9/3/2025 9/3/2026 Each Occurrence 51000 251000 Aggregate E PROPERTY BUILDING CONTENTS BUSINESS INCOME DESCRIPTION OF OPERATIONS / SPECIALTY ITEMS Pest Control Services - City of Meridian is named as additional insured with respects to general liability. Coverage Continued, ..Lost Key Coverage — $5,000,000 Each Occurrence, $5,000,000 Aggregate; Coverage Continued... Wood -Destroying Organisms, Structural Pests, Insects and/or Wood -Decaying Fungus Inspection Coverage, $50,000 Each Occurrence, $100,000 Aggregate Coverage Continued. ..InwTransit Pollution Coverage — $50,000 Each Occurrence, $100,000 Aggregate CERTIFICATE HOLDER City of Meridian 33 E Broadway Ave Meridian, ID 83642 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 SIGNATURE CRCTapcoSurplusLinesAgent ��''60d _' "�� DRIVER`S i.fCENSE _ _: � �- �, ��. '': , -��� ��,,.. r�c�q>� D :►�a �-nd NONE ,��. `� ��� Hest NONE � STROBEt_ BENJr1�lN d���SEPh! 6G72 W INlNDSNEAR ST M�RlDlAN, !D 83646.1746 t �� H�� M ��.���� 2�0 ib �� RED �`� �D e�2z���o��a :a ��N GC21 �26�J ��� 1�s 02I0�/2025 ?t� �x�� 07108I2034 :� ���� 07/0�/1997 D�}NCJR US►�