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HomeMy WebLinkAboutCertificate of Insurance (6)A� O CERTIFICATE OF LIABILITY INSURANCE ­DATE04/05/021 04/05/2021 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 endorsements . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 Co"TNAME: CT CLIENT CONTACT CENTER PHONE A/C No Ext : 888-333-4949 Fp /c Nei: 507-446-4664 AIL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER(S) AFFORDING COVERAGE NAIC # X INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 175-357-3 INSURER B: SKYLINE LANDSCAPES, INC. 384 4TH AVE INSURER C: INSURER D: REDWOOD CITY, CA 94063-3724 INSURER E: MED EXP (Any one person) EXCLUDED INSURER F; COVERAGES CERTIFICATE NUMBER; 23 REVISION NIIMRFR• n 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. ILTR TYPE OF INSURANCE AINSR SNND POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP (MM LIMITS LIMITS THE EXPIRATION DATE THEREOF, NOTICE X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR ACCORDANCE WITH THE POLICY PROVISIONS. EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea accurmnce $100,000 MED EXP (Any one person) EXCLUDED A Y N 9641713 04/01/2021 04/01/2022 PERSONAL 8, ADV INJURY $1,000,000 'L AGGREGATE LIMIT APPLIES PER; POLICY PRO- LOC JECT GENERAL AGGREGATE $2,000,000 FX11 PRODUCTS • COMP/OP AGO $2,000,000 OTHER: A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY N N 9841713 04/01/2021 04/01/2022 CO MANED SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE ❑ PER STATUTE DTH• ER E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDED? N I A E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) If yes, describe under E.L DISEASE • POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) RE: 2254 TASSO ST, PALO ALTO, CA 94301. CERTIFICATE HOLDER C.ANC:FI I ATIMN 175-357-3 230 TOWN OF LOS ALTOS HILLS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 26379 W FREMONT RD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN LOS ALTOS HILLS, CA 94022-2624 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT/AtATTII/VSE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD RE ��,, , E I APR 12 2021 TOWN OF LOS ALTOS HILLS