Loading...
HomeMy WebLinkAboutCertificate of InsuranceT()Wilfilr.ni RI IMMANR AC`1CaROJ" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)� 2/8/2021 _ 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 policies may require an endorsement. A statement on this certificate does not confer ri hts to the certificate holder in lieu of such endorsement(s). PRODUCER License # OE67768 C cT DuICe Mendoza -Martinez IOA Insurance Services 3875 Ho Road Suite 200 PHONE FAX AIC No, Ext ; 925) 660-1398 wc, No); E ss. Duice.Mendoza-Martinez@-Ioausa.com Pleasanton, CA 94588 INSURER(S) AFFORDING COVERAGE NAIL # INSURER A_RLI Insurance Company 13056__ PSB0006460 INSURED INSURE a:Navigators Specialty Insurance Company 36056 Towill, Inc. Cunha Engineering, Inc. INSURER C: TMENTED 1,000,000 i:MISES occurrence) $_,___4 2300 Clayton Road, Suite 1200 JNSURER D.' __— INSURER E: Concord, CA 94520 _ INSURER F: ^ rnvFRAf;FS rFRTIFIrATF NI IMRFR• RFVISInN NI IMRFR• 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 TYPE OF INSURANCE _ A�DDDL SUBR WVD POLICY NUMBER____ POLICY EFF POLICY EXP LIMITS --- A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ^ OCCUR PSB0006460 6/112020 6/1!2021DAMAGE EACH OCCURRENCE $ 2,000,000 TMENTED 1,000,000 i:MISES occurrence) $_,___4 MED EXP (Any one rson $ 10,000 PERSONAL &ADV INJURY 2,000,000 N'L AGGREGATE LIMIT APPLIES PER; POLICY�X JR, El LOC GENERAL AGGREGATE 4,000,000 .._- _$ _ PRODUCTS - COMP/OPAGG $ 4,000,000 $ OTHER: AUTOMOBILE _ _ COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY Per person) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS PSA0002668 6/1/2020 6/1/2021 BOO ILY INJURY.(Peraccident $ _ X WN U A JTQS ONLY X AUTOS OI�Y Pea Ident AMAGE $ $ B UMBRELLA LIAB X OCCUR10,000,000 ---- EACIi OCCURRENCE X EXCESS LIAB CLAIMS -MADE SF20EXC7637721C 6/1/2020 6/1/2021 AGGRE ATE 90,000,000 DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y / N 9FICERIMEMgW, EXCLUDED? andatory In NHJ If describe ribe under DESCRIP [ON OF OPERATIONS below N I A pgW0004302 6!112020 61112021 XPER OTH. E.L. EACH ACCIDENT 11000,000 E.L. DISEASE - EA EMPLOYEE 1 11000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 A Professional Liab. RDP0039987 6/112020 6/1/2021 Per Claim 5,000,000 A Professional Liab. RDP0039987 6/112020 6/1/2021 Aggregate 7,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Surveying Projects: Edgerton Road and Byrne Park Lane The Town of Los Altos Hills, its elective and appointed officers, employees, and authorized volunteers are Additional Insured and Primary Wording applies to General Liability and Auto Liability, as required by written contract. Waiver of Subrogation applies to General Liability, Auto Liability and Workers Compensation in favor of The Town of Los Altos Hills, Its elective and appointed officers, employees, and authorized volunteers, as required by written contract. 30 -Day Notice of Cancellation is included per policy provisions. CERTIFICATE HOLDER CANCFLI_ATION ACORD 25 (2016/03) ©1988.2015 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Town of Los Altos Hills 26379 Fremont Road AUTHORIZED REPRESENTATIVE Altos Hills CA 941122 ACORD 25 (2016/03) ©1988.2015 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD