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HomeMy WebLinkAboutCertificate of Insurance (2)ACQR 1 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/01/2020 1 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 Eclipse Marketing & Insurance Services P O BOX 6480 CONTACT Eclipse Marketing &Insurance Services NAME* A/CPHONNo. Ext : (707) 469-6776 FAX A/C No): (707) 469-8072 EMAIL ADDRESS support@eclipseinsurance.com Vacaville CA 95696 INSURERS AFFORDING COVERAGE NAIC # EACH OCCURRENCE $ 1000000 INSURER A: Philadelphia Indemnity Ins. Co. Agency Lio#: OD60747 INSURED INSURER B: State Compensation Insurance Fund ALL GUARD ALARM SYSTEMS, INC. AG SECURITY SERVICES, INC. INSURER C: INSURER D: GRAND CENTRAL STATION MONITORING, INC. INSURER E: 1306 STEALTH STREET LIVERMORE CA 94551 INSURER F: COVERAGES CERTIFICATE NUMBER: 120827 REVISION NUMBER: 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 INSRD SUER WVD POLICY NUMBER POLICYEFF DATE (MM/DDM) POLICY EXP DATE (MM/DDM') LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE❑ OCCUR X X Errors & Omissions (� PHPK2189428 10/01/20 10/01/21 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED $ 100000 PREMISES Ea occurence MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENT AGGREGATE LIMIT APPLIES PER: PRO - POLICY El JECT LOC ROTHER: GENERAL AGGREGATE $ 3000000 PRODUCTS-COMP/OP AGG $ 3000000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLYAUTOS X HIRED Ix NON -OWNED AUTOS ONLYAUTOS ONLY PHPK2189428 10/01/20 10/01/21 COMBINED SINGLE LIMIT 1,000,000 Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ A X UMBRELLA LIAR X EXCESS LIAB OCCUR CLAIMS -MADE PHUB741057 10/01/20 10/01/21 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 9285321-20 10/01/20 10/01/21 X PER OTH- STATUTE E E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1 000 000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER POLICY WORDING RE: Project: Maintenance Yard Building 27400 Purissuma RD Los Altos Hills, CA CERTIFICATE HOLDER CANCELLATION Tow of Los Altos Hills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 26379 Fremont Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Altos Hills CA 94022 ROVIRIONSLos (� Attention: Dianna StahlLic # OG10997 ".., ACORD 25 (2016/03) Certificate # 120827 'r"— A P`^011 @ 1988-2015 ACORD CORPORATION. All right reserved. --A 1^-^ --!.+-A A m 1r of Af`nt?r1 POLICY NUMBER: PHPK2189428 PI -GL -005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Effective Date: 10/01/2015 Name of Person or Organization (Additional Insured): Blanket where required by written contract SECTION II — WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of or relating to your negligence in the performance of "your work" for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule. This insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or "occurrence" we cover for this Additional Insured. The Additional Insured's limits of insurance do not increase our limits of insurance, as described in SECTION III — LIMITS OF INSURANCE. All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission.