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HomeMy WebLinkAboutCertificate of Insurance (6)A CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDtYY Y) __ TYPE OF INSURANCE 2019 3/29/2019 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 end 0rsement(s). PRODUCER Bolton & Company 3475 E, Foothill Blvd,, Suite 100 Pasadena, CA 91107 NAME: c PHONE FAX A/C No Ext): 626 799-7000 A/c No : 626 553-2117 E-MAIL ADDRESS INSURERS AFFORbING COVERAGE NAIL # www,boltonco.com 0008309 INSURERA: Twin City Fire Insurance Company 29459 INSURED S. P. McClenahan Company INSURER B : Hartford Fire Insurance Company 19682 INSURER C: Hartford Casualty Insurance Company 29424 1 Arastradero Road Portola Valley, CA 9402$ INSURER D: Redwood Fire and Casualty Insurance Cc 11673 INSURER E: INSURER F: --__._----- ,.. .,.-,.,W� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOFIAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, "PERM 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 D D SWVD B POLICY NUMBER MM DbIYEFF PPO ICY EXP MM/DD/Y LIMITS A ,/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR �/ 57UENOK3257 4/1/2019 4/1/2020 EACH OCCURRENCE $1,000,000 I� TO REN PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 _ PERSONAL & ADV INJURY $1,000,000 GEN'LAOGREGATELIMLTAPPLIESPER; POLICY Fv_1 JECT 7 LOC GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 Arborist&Landsca er P *$1,000,000 OTHER: B AUTOMOBILE ✓ LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS NON -OWNED AUT S,ONLY AUTOS ONLY 57UUNSR5675 4/1/2019 4/1/2020 Ee aooldentSINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per acoldent) $ PROPERTY DAMAGE Per acoldent $ C ✓ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE 57HHUOK7901 4/1/2019 4/1/2020 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 r—tDED ✓ RETENTION $10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOFFCERM MB REXCLUDED?ARTNER/EXECUTIVE (Mandatory In NH) D SSGRIPTIION OF OPERATIONS below $ H- gTA7UTE ER - 1) N/A SPWC031766 4/1/2019 4/1/2020 E.L,EACHACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ J,Q00,000 E.L. DISEASE . POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if moro space Is required) Re; All California Operations of the named Insured as required by written contract Certificate holder is named as additional Insured per blanket policy form HG00010916 attached. f Los Altos Hills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town o 26379 f Fremont Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN . Los Altos Hills CA 94022 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE Mary Ann Sun ©1988.2015 ACORD CORPORATION. All rights reserved. AUUML) Zn tZUI n/Ua) I ne ACURD name and logo are registered marks of ACORD 97821727 1 SPMCCLE-Cl 1 2019 Master SPMcClenahan oL/AU/EX/WC/IM I Mary Ann Sun 1 3/29/2019 11:26:31 AM (PDT) I Page 1 of 3 571J�NOK3257 The insurance afforded herein for any A person or organization is an additional Insured subsidiary not named In this Coverage Part under this provision only for that period of time as a named Insured does not apply to injury required by the contract or agreement, or damage with respect to which such Insured However, no such person or organization is an Is also a named Insured under another policy or.,would a named: insured under such insured under` t171s provision if such person or .be policy but for its termination or the exhaustion organization Is included as an insured by an of its limits of insurance, endorsement Issued by us and made a part of this Coverage Inert, 3. Newly Acquired Or Formed Organization a. Vendors Any, organization you newly acquire or form, Any person(s) or organizatlon(s) (referred to other than a partnership, joint venture or limited below as vendor), but only with respect to liability pompany, and over which you maintain "bodily injury" or "property damage" arising finahcial ;interest of more than 50% of the voting out of "your products" which are distributed or stock,', will qualify as a Named Insured If there is sold in the regular course of the vendor's no other similar insurance available to that business and only. if this Coverage Part organization, However; provides coverage for "bodily injury". or a. Coverage underthis provision is afforded only "property damage" included within the until the 180th day' after you Acquire or form "products -completed opera#ions the organization or the end of the policy (1) The insurance afforded the vendor is period, whichever is earlier; subject to the following additional b, Coverage A does not apply to "bodily injury" exclusions; or "property damage" that occurred before This insurance does not apply to: you acquired or formed the organization; and (a) "Bodily injury" or "property damage" for c. Coverage doesnot apply to "personal and which the vendor is obligated to pay advertising injury` arising out of an offense damages by reason of the assumption committed before you acquired or formed the of liability In a contractor agreement, organization, This exclusion does not apply to A, Nonowned Watercraft liability for damages that the vendor With respect to watercraft you do not awn that is would have in the absence of the less than 51 feet long and is not being used to contract or agreement; carry persons for a charge, any person Is an (b) Any; express warranty unauthorized by Insured while operating such watercraft with your you; Permission, Any other person or organization (c) Any physical or chemical change in the responsible for the conduct of, such person Is product made intentionally by the also an insured, but only with respect to liability vendor; arising out of the operation of the watercraft, and) only if no other insurance of any kind is available Repackaging, except when unpacked to that person orarganization forthls liability,demonstration, solely for the purpose of Inspection, However, no person or organization is an insured testing, or the substitution of parts under Instructions with respect to; from the manufacturer, , and then a. "Bodily injury" to a co -"employee" of the repackaged in.the original container; person operating the watercraft; or (e) Any failure to make such inspections, b. "Property damage" -to property owned by; adjustnsenta -=tests-.or servicing as the rented to, in the charge of or occupied by you vendor has agreed to make or normally or the employer of any person who Is an undertakes to make in :the usual insured under this provision, course of business, in connection with S. Additional Insureds When Required By the distribution or sale of the products; Written 'i Contract, Written Agreement Or (f) demonstration, Installation, servicing Perm It or repair operations, except such The fallowing person(s) or organizations) are an operations performed at the vendor's additional insured when you have agreed, In a premises In connection with the sale of written contract, written agreement or because of the product; A permit issued by a state or political subdivision, (g) Products which, after distribution or that such! person or organization be added as an sale by you, have been labeled or additioria,l Insured on your policy, provided the relabeled or used as a container, part Injury* or damage occurs subsequent to the or ingredient of any other thing or execution of the contract or agreement, substance by or for the vendor; or Page 12 of 21 HG 00 01 0916 '97921727 1 SPMCCLS-CS 1 2019; Master SPMoClendhan at/Au/m/WC/IM r Mary Ann Sun 1 3/29/2019 11:26;31 AM (PDT) I Page 2 of 3 J i (h) "Bodily Injury" or "property damage" omissions of those acting on your behalf; arising out of the sole negligence of the (1) In connection with your premises; or vendor for its own acts or omissions or those of its employees or anyone else (2) In the performance of your ongoing acting on Its behalf, However, this operations performed by you or on your exclusion does not apply to; behalf. (i) The exceptions contained in Sub. With respect to the insurance afforded these paragraphs (d) or (f); or additional insureds, the following additional (ii) Such inspections, adjustments, exclusion applies: tests or servicing as the vendor has This insurance does not apply to "bodily agreed to Intake nr normally injury„ , property damage„ or "personal and undertakes to make in the usual advertising injury"arising out of the rendering course of business, in connection of or the failure to render any professional - with the distribution or sale of the services by or for you, including: products, 1. The preparing, approving, or failing to (2) This Insurance does not apply to any prepare or approve, maps, shop drawings, insured person or organization, frosurveys,field opinions, reports, surveys, orders, whom you have acquired such products, change orders or drawings and specifications; or or any ingredient, part or container, entering Into, accompanying or containing 2. Supervisory, inspection, architectural or -- ,' such products, engineering activities. b. Lessors Of Equipment This exclusion applies even if the claims (1) Any person(s) or organization(s) from against any Insured allege negligence or whom you lease equipment; but only with other wrongdoing in the supervision, hiring, respect to their liability for "bodily injury", employment; training or monitoring of others "property damage" or "personal and by that insured, if the occurrence which advertising Injury” caused, in whole or in caused the "bodily Injury” or "property part, by your maintenance, operation damage", or the offense which caused the Use, of equipment leased to you by such "personal and -advertising injury", involved the person(s) or organization(s), rendering' of or the failure to render any (2) With respect to the insurance afforded to professional services by or for you. these additional insureds this insurance e, permits Issued By State Or Political does not apply to any "occurrence" which Subdivisions takes place after the equipment lease Any state or political subdivision, but only with expires, respect to operations performed by you or on c Lessors Of Land Or premises your behalf for which the state or political Any person or organization from whom you subdivision has Issued a permit, lease land or premises, but only with respect With respect to the insurance afforded these to liability arising out of the ownership, additional Insureds, this insurance does not maintenance or use of that part of the land or apply to: premises leased to you, (1) "Bodily injury" "property damage" or With respect to the insurance afforded these "personal and advertising injury" arising additional insureds the following additional out of operations performed for the state exclusions apply or munielpality; or This insurance does not apply to; (2) "Bodily Injury"' or "property damage" 1. Any "occurrence" which takes pleas after included within the "products -completed operations hazard", you cease to lease that land; or f. Any tither Party 2. Structural alterations, new construction or demolition operations performed by or on Any other person or organization who is not behalf of such person or organization, an additional Ensured under Paragraphs a, d. Architects, Engineers Or Surveyors through e, above, -but on lywith '..respect to liability for "bodily Injury", "property damage" Any architect; engineer, or surveyor, but only or "personal and advertising Injury" caused, in with .respect to liability for "bodily injury", whole or In part, by your acts or omissions or "property damage" or "personal and the acts or omissions of those acting on your advertising injury" caused, in whole or in part, behalf: by your, acts or omissions or the acts or (1) In the performance of your ongoing operations; HG 00 0109 16 Page 13 of 21 97821727 1 SPMCCLPI-C1 12019!Master SPMoClenahan GL/AU/EX/WC/IM Mary Ann Sun 1 3/29/2019 11;26:31 AM .(PDT) I Page 3 of 3 Bolton E. roothipll Blvd„ Suite 100 Pasadena, CA 91107 Town of Los Altos Hills 26379 W. Fremont Road Los Altos Hills CA 94022 WIL)0CYMENT of Insurance belivery ecertsonllneTM Mary Ann Sun (626) 799-7000 Ce No, 47821727 - Renewal Certificate of Lla ility, S. P, McClenahan Company, Inc. - .; 3/29/2019 4 www,boltonco,com Attached is the requested certificate of insurance for the Insured in the subject above. The certificate was created In eCertsOnline and is in PDr format. You need to have Adobe Acrobat Reader installed on your system to view the certificate. To download the Adobe Reader for free, please visit www.Adobe.com. If you have any questions on the certificate, please contact Bolton & Company at 626-799-7000. THIS MESSAGE IS INTENDED FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. IF THE READER OF THE MESSAGE IS NOT THE INTENDED RECIPIENT, OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT, YOU ARE HEREBYNOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US IMEDIATELY SYTELEPHONE, AND RETURN THE ORIGINAL MESSAGE 70 US ATTHEASOVE ADDRESS VIA REGULAR POSTAL SERVICE. Certificate of Insurance Delivered by ecertsonlineTM Insurance Visions, Inc, All rights reserved,