HomeMy WebLinkAboutKillroy Pest Control IncP52611028002
DATE(MMIDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 10/04/2022
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 pollcy(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),
--..�.«..� ONT CT
PRODUCER LIC #CA LIG OH2 1-$77-220-0000 NAME:_ Raquel DeGroat
Edgewood Partners Insurance Center (EPIC) PHONEExt1.415-356-4$75 NC No):
2110
PO BOX [Sacramento211.0 ADDRESS: Branch - Branch ID 155597 E-MAIL raquel,degroat@epicbrokers.com
INSURERS(S AFFORDING COVERAGE _ NAIC#
Rancho Cordova, CA 95670 INSUR',Ra,NNOVA CAS CO 42552
INSURED INSURERS ..TECHNOLOGY INS CO INC _ 42376
1Killroy Peat Control Inc INSURERC:�
dba Sensitive Solutions
INSURERD:
1175 Dell Ave
INSURER E
Campbell, CA 95008 INSURERF:
° DC\lIQIAAI IJI IMI��R•
COVEKFl,UtZi
POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
THIS IS TO CERTIFY THAT THE
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
WITH RESPECT TO WHICH THIS
INDICATED. NOTWITHSTANDING
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
HEREIN IS SUBJECT TO ALL THE TERMS,
CERTIFICATE MAY BE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ADDL S 9R POLICY EFF POLICY EXP
TYPE OF INSURANCE POLICY NUMBER MMIDOIYYYY MM DD
LIMITS
X COMMERCIAL GENERAL LIABILITY POCML1000012707 10/01/22 10/01/23
EACH OCCURRENCE $ 1,000,000
rLT8R
CLAIMS -MADE OCCUR
DAMAGETORENTED
PREMISES Ea occurrence $ 100,000
X Pesticide/
MED EXP (Any one person) $ 5, 000
------
X Herbicide_
PERSONAL$ADV INJURY $ 1,000,000
-
_
GENERAL AGGREGATE $ 3,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
PRO-
PRO -LOC
gPOLICY ❑
PRODUCTS - COMPIOPAGG $ 2,000,000
_ — —
_1
L J L.J
$
THER:
A AUTON(?BILELIAHILITY POCMLIOOOO12707 10/01/22 10/01/23
CO BINED SI GLE LIMI
Eaaccldent $ 1,000,000
BODILY INJURY (Per person) $
X ANY AUTO
AWNED SCHEDULED
BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED X NON -OWNED
-
PROPER DAMAGE
(Por acclden0 $
X AU'I pS ONLY � AUTOS ONLY
_
-77
A
BRELLA UAB
X
OCCUR
POCUM1000002807
10/01/22
10/01/23
EACHOCCURRENCE_, $ 1,000,000
AGGREGATE $ 1.000, 000
EXCESS LIAR
CLAIMS -MADE
$
LX RETENTION$ 10,000
DEI
WORKERS COMPENSATION
TWC4171341
10/01/22
10/01/23
X STATUTE ER
E.L. EACH ACCIDENT $ 1, 000, 000
H
AND EMPLOYERS' LIABILITYYIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
_T
E.L. DISEASE EA EMPLOYEE $ 1,000,000
OFFICERIMEMBEREXCLUDED7 �
NIA
(Mandatory In NH)
If yes, describe under
—
E.L, DISEASE - POLICY LIMIT 1 $ 1,000,000
DESCRIP I ION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Res work performed by Named Insured as per written contract. Additional insured: The Town of Los Altos Hills, it's
and appointed Officers, Employees, and volunteers.
elective
I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Los Altos Hills THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
26379 Fremont Rd AUTHORIZED REPRESENTATIVE
LOS Altos Hills, CA 94022��
I "USA
-- n 19RR.20t5 ACORD CORPORATION. All rights reserved.
ACORD 26 (2016103)
RDegroat
66838443
The ACORD name and logo are registered marks of ACORD
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