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HomeMy WebLinkAboutCertificate of InsuranceACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 7/5/2019 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 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 t° the-_ certificate holder in lieu of such endorsemont(s). PRODUCER Dealey, Renton &Associates P. O. Box 12675 Oakland, CA 94604-2675 CONTACT NAME: Rosema Currie PHONNo_E 800.545.3090 FAC No ;510.452.2139 E-MAIL ADDRESS: certificates@dealeyrenton.com License #0020739 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Co, of Connecticut 25682 EACH OCCURRENCE $ 1,000,000 INSURED DUXBUARCH Duxbury Architects 382-A 382-A First Street INSURER B: U.S. Specialty Insurance Company 29599 INSURER C: Travelers Property CasualtyCo of Ameri 25674 INSURER D : Los Altos, CA 94022 650 917-3840 INSURER E : INSURER F: A COVERAGES CERTIFICATE NUMBER: 1745682135 REVISION Nl1MRFR- 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 - ADDLSUBR - -- POLICY NUMBER POLICY EFF _---POLICY MM/DD/YYYY EXP MM/DD/YYYY --- -_-- - LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X Contractual Llab 68011-1785565 8/29/2019 8/29/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 X XCU Included PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I JECT, LOC OTHER: LGENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $2,000;000' $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS IX AUTOS NON -OWNED BA51461_418 6/29/2019 8/29/2020 COMBINED SINGLE LIMIT Ea accident $1 000 000 _ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Pe�a'.Ident AMAGE $ $ — UMBRELLA LIAB EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A I OTH- STATUTEI ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ B- ProfossionelLiability Claims Made USS1929910 7/2/2019 7/2/2020 $1,000,000 Per Claim $2,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: All Operations of the Named Insured CERTIFICATE HOLDER CANCFI I ATIOKI 3r1 nov Nlntina of r annalla+Inn ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 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 Los Altos Hills CA 94022 AUTHORIZED REPRESENTATIVE - 4 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD