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Thibault Builders
THIBA-1 OP ID: DV .4COR0 `.� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) TYPE OF INSURANCE 08/18/2022 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(ies) 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 916-739-0254 Wasserman & Associates Insurance Brokers, Inc. CONTACT PHONE 916-739-0254 FAX 916-733-0622 (A/C, No, Ext): (A/C, No ) PO Box 19970 Sacramento, CA 95819-3915 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # Rick Wasserman INSURERA:Associated Industries Ins. Co. 23140 EACH OCCURRENCE $ 1,000,000 INSURED Thibault Builders INSURER B: Everest Premier Insurance Co 16045 INSURER C: 219 Dillion Ave Campbell, CA 95008 INSURER D: INSURER E: GEN'LAGGREGATE LIMIT APPLIES PER : POLICY❑ JECT PRO- 1:1 LOC INSURER F: COVERAGES CFRTIFICATF NI IMRER• ooAncinki ��� ■woIr,. -- - - - --�w�noLrt. 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 NSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X $2,500 ded AES1227135 00 08/15/2022 08/15/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1 OO,000 PREMISE Ea occurrence $ MED EXP (Any one erson $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER : POLICY❑ JECT PRO- 1:1 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 210001000 OTHER: AUTOMOBILE LIABILITY EO MBCNdEeDtSINGLE LIMIT $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY r AUTOS ONL� BODILY INJURY Per accident $ Pe accRdentDAMAGE - $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR DED I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/P.ARTNER/F.XECUIW n OFFICER/MEMBER EXCLUDED? u (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 7600015220221 07/01/2022 07/01/2023 X PER OTH- STATUTE ER 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 I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) All California Operations. CERTIFICATE HOLDFR r+Aturot t Arlr%kl LOSAL-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Los Altos Hills THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 26379 Freemont Road Los Altos Hills, CA 94022 AUTHORIZED REPRESENTATIVE 7O ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD July 15, 2022 Account # 3700306 Account Name: TOWN OF LOS ALTOS HILLS HAYWARD" SO YOU CAN BUILD We are in the process of implementing a new software system here at Hayward Lumber. We expect to switch over February 2023. This change will dramatically improve the ways in which we are able to serve our customers. 1. Digital signature capture and archiving of every invoice 2. E-mail of invoices with signatures and statements, on your preferred schedule (at time of purchase, end of day, weekly, monthly) 3. Customer Portal for viewing and paying invoices, if desired 4. Improved end -of -month billing cycle 5. Capability to store credit cards securely attached to your account and/or project for payment at the time of purchase In preparation for the many changes coming, please take a moment to fill out our online form so we can update your account information. You may scan the QR code below or type in the survey address. In the future, our billing communications will be electronic, so an accurate email address is required. o. a https://haywardlumber.com/customercontact/ If you would prefer to mail your information back to us, this is the information we need to update. E -Mail address: Mailing Address: Business Phone Number: Cell Phone Number (may be the same as Business Phone): Accounts Payable Contact Name: Account Payable Phone Number: Accounts Payable Email address: _ Hayward Lumber Attn: Craig Roberts P.O. Box 16009 Monterey, Ca. 93942 Email: croberts@haywardlumber.com Or by Fax: 831-644-7610 Thank you for your support during this transition. Feel free to contact me or anyone at the branches if you have any questions. Craig Roberts Credit Manager Hayward Lumber Co • PO Box 16009 • Monterey, CA 93942 • (831) 643-1900