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HomeMy WebLinkAboutCertificate of Insurance (3)IE�"pP CERTIFICATE OF LIABILITY INSURANCE 10/27/2020YY) 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 provislons or be ondorsed. 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 LIC #0H23461 1-800-881-3419 Freedom Insurance Services, Inc. Freedom &Associates InServices 1950 W. Corporate Way NAMEI A11Y Lambert HOE , 800-081-3419 FAX 844-881-3419 AIC No: MAIL Certs®insurefis.com AODRE55: PNB 22850 Anaheim, CA 92801 INSURERS AFFORDING COVERAGE NAIC11 INSURER A: preferred Professional Insurance Compan INSURED Skyline Landscapes, Inc. INSURER B: INSURER 1': INSURERD: 384 4th Avenue INSURER E : Redwood City, CA 94063 INSURERF: EACH OCCURRENCECLAIMS-MADE 1\F.tl IVI\/Itl IYVIYI�GR. 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 BppY PAID CLAIMS, ILTR TYPE OF INSURANCE BR POLICY NUMBER MO DDNYYY LIMITS COMMERCIALGENERALLIABILITY 1:1OCCUR 7PERSONAL EACH OCCURRENCECLAIMS-MADE A ETb-11EN`rCPREM SES Ea occurre ce $ MED EXP An ane person $ &ADV INJURY $ GENIAGGREGATE LIMIT APPLIES PER � GENERAL AGGREGATE $ . COMP/Op AGG $ POLICY jEow LOC RPRODUCTS OTHER; $ AUTOMOBILE LIABILITY Ee COMBINED tSINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ROeccRdeYtO MAGE $ UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ON09080 02 08/01/20 08/01/21 X STATUTE CC-RH Y/N ANYPROPRIETORIPARTNENEXECUTIVE OFFICERIMEMBEREXCLUDED? F NIA E.L.EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (MandatorylnNW) Ifes yydescribe under I E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESGIRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Los Altos Hills THE EXPIRATION DATE THE=REOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 26379 Fremont Rd AUTHORIZED REPRESENTATIVE / (� ^A Los Altos Hills, CA 94022 al , / 7--� ))Ir USA "'"vim'" �ip�(�J'C ©1988.2015 ACORD CORPORATION. All rinhfs rnaanmfl ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ally 60572604 I