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Home My WebLink AboutLewis and Tibbits, Inc.AC®R" CERTIFICATE OF LIABILITY INSURANCE 11%.� DATE (MM/DD/YYYY) 12/20/2018 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 Woodruff -Sawyer & Co. 50 50 California Street, Floor 12 San Francisco CA 94111 CONTACT Nick McCarthyFAX PHONE AIC No Ext): 415-391-2141 vc -989-9923 ADDRESS: nmccarthy@woodruffsawyer.com INSURERS AFFORDING COVERAGE NAIC # _ INSURER A: Hartford Fire Insurance Company 19682_ _ INSURED LEWIAND-01 Lewis and trial v nu 1470 Industrial Avenue INSURER B: Hartford Underwriters Insurance Company 30104 _ INSURERC: Hartford Casualty Insurance Company 29424 INSURER D; Travelers Prop Casualty Co of America 25674 San Jose CA 95112 INSURER E: Hartford Accident & Indemnity 22357 INSURER F: COVERAGES CERTIFICATE NUMBER: 2068534939 RFvl.glnM NIIIMRFR• 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 LTR TYPE OF INSURANCE ADDL D SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MMIDDNYYYI LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR 57UEAZM1413 1/1/2019 1/1/2020 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 _ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY _ PRO- X JECT LOC GENERAL AGGREGATE $2,000,000 GEN'L _ PRODUCTS - COMP/OP AGG $ 2,000,000 $ _ OTHER: _ _..- W _.. W..t_ A AUTOMOBILE LIABILITY 57UEAZ_M1416 1/1/2019 1/1/2020 _ COMBINED SINGLE LIMIT $1000000 Ea accident, ,_______ X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS -------- BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE --- Per accident $ C X UMBRELL.ALIAB X OCCUR 57RHAZM1556 1/1/2019 1/1/2020 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS -MADE $ 1,000,000 DED FIRET'ENTION$ _AGGREGATE $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?N / A 67WEAPK7544 -� 1/1/2019 1/1/2020 XSTATUTE ETH — -- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 -- (Mandatory In NH) If yes, describe under ----- E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below D Installation Floater QT6605J724614TIL18 1/1/2019 1/1/2020 Limit $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All California Operations performed by the Named Insured for the certificate holder -x 11r- I " I rvwcM VHINIiCLL/A I IVIV Town of Los Altos Hills 26379 Fremont Rd 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 9*44 01116,001W 9 1VUB-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD