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HomeMy WebLinkAboutCertificate of InsuranceMEYENAV-01 KBORN CERTIFICATE OF LIABILITY INSURANCE DA TD/YYYY) 4/126/226/2019 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 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0757776 HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CNAME;ONTACT PHO Ne, Ext): (925) 609-6500 FAX, No 925 609-6550 ):( ) ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Vigilant Insurance Company 20397 5/1/2019 INSURED INSURER B: Federal Insurance Company 20281 INSURER C: Aronaut Insurance Company 19801 Meyers Nave Riback Silver & Wilson INSURER D : 555 12th Street, Suite 1500 Oakland, CA 94607 INSURER E INSURER F: PERSONAL & ADV INJURY $ 1,000,000 COVERAGES CERTIFICATE NUMBER! RFVICInN NI IMRFG• 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 LT TYPE OF INSURANCE ADDL D SUBR WVD POLICY NUMBER POLICY EFF MM DD/ YY) POLICY EXP (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [ X] OCCUR 35904309 5/1/2019 5/1/2020 EACH OCCURRENCE $ 1,000,000 DAMAGETORENTED 1,000,000 PREMISES Ea occurrence $ MED EXP (Anyoneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY IA jE �X LOC GENERAL AGGREGATE $ 40001000 PRODUCTS -COMP/OP AGG $ Included $ OTHER: B AUTOMOBILE LIABILITY Pa aBINEDtSINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 73557130 5/1/2019 5/1/2020 BODILY INJURY Per accident $ Peer accdentDAMAGE $ X AUTOS ONLY Lx AUUTOS ONLY B X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAR X CLAIMS -MADE 79871939 5/1/2019 5/1/2020 DE I X I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? LJ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 71726427 5/1/2019 5/1/2020 X PER I OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 C Professional Liab 121 LPL 0000602-01 5/1/2019 5/1/2020 Deductible ^100,000 C Claims Made 121 LPL 0000602-01 5/1/2019 5/1/2020 Per Claim/Aggregate 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) For information purposes only. Town of Los Altos Hills; City Manager 26379 Fremont Road Los Altos Hills, CA 94022-0000 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD