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Home My WebLink AboutCertificate of InsuranceAC V® DATE (MM/DD/YYYY) -- CERTIFICATE OF LIABILITY INSURANCE 07/01/2021 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 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 IPRODUCER Solutions Solutions 180 N Stetson Ave Suite 4500 Chicago, IL 60601 NAMECorRisk Karen Bronson PHONE (AIG, No, Exo: FA 12-637-8755 AC, NO, ExU: 312-637-8755E-MAIL noless: kbronson@corrisksolutions.com SUER WVD INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: New Hampshire Insurance Company 23841 INSURED Thomas Klope Associates, Inc. 5150 E1 Camino Real Building B, Suite 20 Los Altos, CA 94022 INSURER B: GENERAL LIABILITY INSURER C: INSURER D: INSURER E: EACH OCCURANCE INSURER F: COMMERCIAL GENERAL LIABILITY COVERAGES CFRTIFICATF NI IMRFR• pGVlelnnl nu InnoGo• 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 ADD'L INSRD SUER WVD POLICY NUMBER POLICY EFF (MM/DDmrY) POLICY EXP (MM/DDJYYYY) LIMITS GENERAL LIABILITY EACH OCCURANCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS MADE ElOCCUR PREMISES (Ea occurance) MED EXP (Any one person) DOES NOT APPLY PERSONAL & AND INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC AUTOMOBILE LIABILITY UUMBINEU UINULt LIMI I (Ea accident) BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS DOES NOT APPLY BODILY INJURY (Per accident) HIRED AUTOS NON -OWNED PROPERTY DAMAGE (Per accident) Al ITn.R UMBRELLA LIAB OCCUR EACH OCCURANCE EXCESS LIAB CLAIMS MADE DOES NOT APPLY AGGREGATE DED RETENTION $ WORKERS COMPENSATIONSTATU- WC OTHER AND EMPLOYERS' LIABILITY TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICE/MEMBER EXCLUDED?Y/N WA (Mandatory In NH) DOES NOT APPLY E.L. UISESAE - EA If yes, describe under DESCRIPTION OF ❑ EMPLOYEE E.L. DISEASE - POLICY LIMIT OPERATIONS below low A Professional Liability 064989892- 08/11/20 08/11/21 Per Occurrence: $1,000,000 05 1 1 Annual Aggregate: $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACCORD 101, Additional Remarks Schedule, if more space is required) VGr[ I IF1%1 1 I G fIVLNCr% %,A IVt,CLLA I IUIV ACORD 25 (2010/05) @ 1888.2010 ACORD CORPORATION. Allrlghts reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE Town of Los Altos Hills THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 26379 Fremont Road AUTHORIZED REPRESENTATIVE Los Altos Hills, CA 94022 ACORD 25 (2010/05) @ 1888.2010 ACORD CORPORATION. Allrlghts reserved. The ACORD name and logo are registered marks of ACORD