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HomeMy WebLinkAboutCalyx Tree and Landscape ConsultingDEANECK-01 TSEI_VAN ACORO� CERTIFICATE OF LIABILITY INSURANCE �►�-''' DATE (M 6/27//20222022 Y) 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 cRNEpCT David Burnside aIc°,No,Ext: (978) 661-6214 No): (951) 231-2572 HUB International Insurance Services Inc. 90 New Montgomery Street Suite 250 San Francisco, CA 94105 E-MAIL cal.c u hubinternational.com ADDRESS: p INSURERS AFFORDING COVERAGE NAIC # 6/112022 INSURER A: Certain Underwriters at Lloyds EACH OCCURRENCE 1,000,000 INSURED INSURERS: INSURERC: Deanne Ecklund Goff INSURER D: 221 Main Street #83 Los Altos, CA 94023 E: -INSURER INSURER F: GENERAL AGGREGATE $ 2,000,000 COVERAGES CERTIFICATE Nt1MHFR- RFVIRInN NUMRFR• 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 TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS Al X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PSJ0031769469 6/112022 61112023 EACH OCCURRENCE 1,000,000 DAEAISES Ea occurrence) $ 250'000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: X POLICY E TELT El LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS yy Ai1TE05 ONLY P ATOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) BODILY INJURY Per accident) Poor auciRden DAMAGE $ UMBRELLA LIAR EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AANNFIPROPRIETOR/PARTNER/EXECUTIVE EWM IE ER EXOLNER/EUDE[ ECUTIVE ❑ (Mandatory In N ) If yes, describe under DESCRIPTION OF OPERATIONS below NIA SER UTE ETH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) For Information Purposes Only. 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 oux-OZ114,1- ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD