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HomeMy WebLinkAboutHeather Franco.AICr�R/�► CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY).. F04113/2020 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 holderis an ADDITIONAL INSURED, the policy(ies) must 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). PRODUCERCONTACTNA Laurel Fowler Insurance BFoker, Inc. 877 Noyes Road Arroyo Grande CA 93420 Linda Anderson PH°NE':" ' 805 473-2227 FAX 805 473-0202 EMAIL linda laurelfowlerins.com INSURERS AFFORDING COVERAGE NAIO#' INSURER A: American Reliable INSURED Heather Franco 5361 Hiliflower Drive Livermore CA 94551 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDLSUBR POLICY NUMBER POLICY EFF MM/DD Y POLICY EXP M /DD/YYYY — LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IT] OCCUR X AML 102111 11 04/03/2020 04/03/2021 DAMAGE TO RENTED PREMISES (Ea nnourrence) $ = MED EXP (Any oneperson) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $.2,000,000 -- GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,009, PRO LOC T POLICY JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ ( ) NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION VVC STATIJO-FFI- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? N / A — E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under -- - DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) ***RIDING INSTRUCTION BOTH ON & OFF PREMISES, ON OWNED & NON -OWNED HORSES*** (1 27210 Altamont Rd., Los Altos Hills, CA 94022 TOWN OF LOS ALTOS HILLS Town of Los Altos Hills 26379 Fremont Rd. Los Altos Hills, CA 94022 VHIYVGLLH I IVIY 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 1988-2010 ACORD CORPORA'T'ION. All rights rsservnri_ ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD