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Home My WebLink AboutCertificate of InsurancePage 1 of 1 AC"R& r 4p CERTIFICATE OF LIABILITY INSURAINCE D05/20/2022ATE Y) 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. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. 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 Ileu of such endorsement($). PRODUCER CO T M� C WillJs Towers Watson Certificate Centex SA _ Willis Bnwexa Watson Northeast, Inc. c/o 26 Century blvd PHONE 1-677-945-7378 1 bi38-467-2378 / P.O. Bax 305191 E•MI.DDS erti£icates@Willis.ccm ) AFFORDING COVERAgE J Nashville, TM 372305191 USAINSUREPJJ INSURERA;_great Northern insurance Company _NAIC# 20303 INSURED INSURER B; Federal Insurance Company 20281 CivioPlus, LLC INSURERC 302 S 4th Street, Suite 500 INSURER D : _..._ --- Manhattan, US 66502 IN6URER E i INSURER F: COVERAGES CERTIFICATE NUMBER; W24806738 REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THC POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE. INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSti_ ____..__•..._._.._ __. ......__......_r_.-._, I3L�6L Lli'_,..u, __.,_ ..___.__,____.__.... _pppLICY hF pQ-U.......L.x._. _...______._.._..._. ...._,..__._....--...._..,._-__,___.__.__... LTR]_'_'__"_-__"' _* TR TYPE OF INSURANCE POLICYNUMBIR MMIDD/YYYY MMID lYX Y LIMITS ACCORDANCE WITH THE POLICY PROVISIONS. X COMMERCIAL GENERAL LIABILITY AUTHORIZED REPRESENTATIVE I 1 LOS Alto$ Hills, CA 94022 EACHOCCURRENCE $ 2,000,000 CLAIMS __. -MADE I " I OCCUR 2, 000, 000 _._..e _. 'A' i MED EXE" (Aily oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 3602-53-•12 05/17/2022 05/17/2023 GEN'L AGGREGATE LIMIT APPLIES PER; OFNCRAL AGGREGATE $ 2,000,000 X I POLICY (( 1 PRO • �____... I JECT LOC _..__....._...._._.,._..__._..__.__.....,._.._____.___... PRODUCTS - COMr /OP AGG 2, 000, 000 $ OTHER; AUTOMOBILE LIABILITY CO MSINED S q EL MIT $ 1,000,000 X ANY AUTO BODILY INJURY (Per parson) $ B OWNED SCHEDULED AUTOS ONLY AUTOS 1 7358-87-92 05/1.7/2022 05/17/2023 BODILY INJURY(Psro.ccident) $ HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY I Igor H4cidenl Ei UMEIRELLALIAB X OCCUR I EACHOC;CURRENCF ._ w $ 5,000,000 X EXCESS LIAR CLAIMS MADk 796949-14 105/17/2022 05/17/2023 AGCiIlFGATE1,000,000 DFD X RETENTION$ 0 WORKERS COMPENSATION ' - y, PER TIT AND AND EMPLOYERS" LIABILITY Y f N SI ATU`I GR L; CA( H ACCIDCN C $ 1,000,000 B ANYPROPRIE'rOR/PARTNER/EXECUI'IVEL OFFICER/M EMBERCXCLUDED7 NIA; (23) 7174-92-49 05/17/2022 05/17/2023 (Mandatory In NH) iF.L• DISEASE • EA EMPLOYEE x 1,000,000 II yyss, dasCrlbe under _ - -- DESC IPTI N OF OPERATIONS below PO E.L. DISEASE • LICY LIMIT $ 1,000,000 I I � DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Addltlonal Remarks Schedule, maybe sttachad II moro space Is roqulred) CERTIFICATE HOLDER CANCELLATION 0 1988.2016 ACORD CORPORATION, All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 8a xno 22596306 BATCH: 2534245 2 of 2 4591 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THIS EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7C1Ye 'Down of I,as Alton Hills AUTHORIZED REPRESENTATIVE 26379 Fremont Road 1 LOS Alto$ Hills, CA 94022 . 0 1988.2016 ACORD CORPORATION, All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 8a xno 22596306 BATCH: 2534245 2 of 2 4591