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HomeMy WebLinkAboutMaster Plumbing & Sewer, Inc.MASTE-3 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/03/2022 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 831-423-8542 DCD Financial & Insurance Svcs P.O. Box 4209 NOME?CT Clay Timmons PHONE 831-423-8542 FAx 831-423-5714 (A/C, No, Ext): A/C, No): 1123 Soquel Ave Santa Cruz, CA 95062 ADDRESS: X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCURDAMAGE Clay Timmons INSURERS AFFORDING COVERAGE NAIC # INSURER A: Falls Lake Fire & Casualty Co 15884 11/1712021 INSURED Master Plumbing &Sewer, Inc.To P.O. Box 939 INSURER 13: GuideOne Mutual Insurance Co 15032 a Insurance Company INSURER C : p p Y 18031 Mountain View, CA 94042-0939INsuRER D ; Beazley Syndicates 048946 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 ITR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCURDAMAGE X 70K100846-00 11/1712021 11/17/2022 EACH OCCURRENCE $ 1,000,000 TO RENTED p a occurrence)$ 100,000 MED EXP (Any one erson $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYR❑X JE� F7 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 acc idler") X BODILY INJURY Per erson $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 70K100846-00 11/17/2021 11/17/2022 BODILY INJURY Per accident $ X Perr. ,d.nt DAMAGE AUTOS ONLY X AUTOS ONLYY C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAR CLAIMS -MADE XL00201303-04 11/17/2021 11/17/2022 AGGREGATE $ 5,000,000 DED I X I RETENTION $ 10,000 A WORKERS COMPENSATIONX AND EMPLOYERS' LIABILITY YIN ANY PROPRIR/PARTNER/EXECUTIVE OFFICER/MEMBMB ER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A FLA019693-00 10/01/2022 10/01/2023 OT PER EH - T TUTER E. L. EACH ACCIDENT $ 1,000 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 D Pollution Liab 1:_7 000384002 11/07/2021 11/07/2022 Pol Limit 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) With respect to operations of the named insured. TOWN263 Town of Los Altos Hills 26379 Fremont Ave 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD