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HomeMy WebLinkAboutCertificate of Insurance 2018'nom " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/0 8 DD[YYYY) 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 HAUSER 5905 E. Galbraith Rd Suite 9000 Cincinnati OH 45236 CONTACT NAME: Vicki Dixon PHONE Ext), 513-745-9200 '14C. A/C No): 513-745-9129 ADDRESS: vdixon@thehausergroup.com INSURERS AFFORDING COVERAGE NAIC # 3/1/2018 INSURER A: Ohio Security Insurance Co 24082 EACH OCCURRENCE $1,000,000 INSURED MANAG-2 Management Partners, Inc. 1730 Madison Road INSURER B: American Fire & Casualty Co 24066 INSURER C: The Ohio Casualty Ins. Co. 24074 INSURER D: Continental Casualty Company 20443 Cincinnati OH 45206 INSURER E: PRODUCTS - COMP/OP AGG $ 2,000,000 INSURER F: B COVERAGES CERTIFICATE NUMBER: 134548101 REVISION NUMBER: 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. ILTR TYPE OF INSURANCE ADDL SUBR NUMBER POLPOLICY MMD fYYYY POLICY DIYYXYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR BKS (19) 57 82 60 57 3/1/2018 3/1/2019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY n PE LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OHIO STOP GAP $1,000,000 B AUTOMOBILE XANY X LIABILITY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS Ix AUUTOSWNED BAA (19) 57 82 60 57 3/1/2018 3/1/2019 COMBINED SINGLE LIMIT Ea accident$1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident) $ Parr a .'dent AMAGE $ C X UMBRELLA LIAB EXCESS LIAB X JOCCUR CLAIMS -MADE USO (19) 57 82 60 57 3/1/2018 3/1/2019 EACH OCCURRENCE $ 3,000,000 AGGREGATE $3,000,000 DED I X RETENTION$0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/ N ANY_ OFFICER/MEMBER EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE 7N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A XWS (19) 57 82 60 57 3/1/2018 3/1/2019 XWC STATU- OTH- E E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D Mgmt. Prof. Liability Deductible 596801719 3/1/2018 3/1/2019 Mgment Liab Profess. $1,000,000 Deductible $10,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Umbrella Policy follows form to the General Liability and Auto Liability Policies The Town of Los Altos Hills, Its elective and appointed officers, employees, and volunteers are shown as an additional insured(s) solely with respect to general liability and auto liability coverages as evidenced herein as required by written contract with respect to work performed by the named insured(s). %.CR I irn m 1 C r1ULVCK GANGtLLA I IUN SU OIays except lU aays non DaVment Town of Los Altos Hills 26379 Fremont Road Los Altos Hills CA 94022 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 REPRESENTATIVE 9. �11w'—" ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD