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