HomeMy WebLinkAboutBay Area Traffic Solutions, LLC (2)IMI, :" CERTIFICATE,1►- LIABILITY R �,,
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DATE (MM/DD/YYYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANIS 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 PINT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S); AUTHORIZED
REPRESENT--ATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate :holder Is an ADDITIONAL INSURED, the pc
If SUBROGATION IS WAIVED, subject to the terms and conditions of the
this certificate does not Confer rlahts to the certificate holder In lieu of suc
PRODUCER
AssuredPartners of California Insurance Services, LLC
1425 River Park Drive, Suite 226
Sacramento CA 95815
E E [yr t, #:
INSURED
Bayy Area Tr�afflc Solutions, LLC AUG 2 2 2023
4�IB'00 Industrial Drive
Fremont CA 94538 TOWN OF LOS ALTOS HILLS
COVERAGES
CERTIFICATE NUMBER: 20@149370
must have ADDITIONAL INSURED provisions or be endorsed.
certain policies may require an endorsement. A statement on
A: Scottsdale Insurance Cc
.T i. b. ► IT, F - u..
41297
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.
f _.. TYnE pF INgURANCR POLICY NUMBER pM YYY M1 YYYY LIMITS
A X OOMMERCIALGENERAL LIABILITY Y Y BC820006721 6125/2023 6125/2029 EACH OCCURRENCE $1,000,000
CLAIMS -MADE I.m1 OCCUR P_ E�M� a a riper, $100,000.
MED EXP (Any one Corson)
PERSONAL &ADV INJURY $1,000,000
GE'LAGGREGATE LIMIT APPLIES PER: f1ENERALAGOREGATE $2000,000
OTPOLICYOT 0 LOC PRODUCTS. COM1310P AGO $2 000 000
EI JE
C
AUTOMOBILE
LIABILITY
Y
Y
CF4CA01850231
8125/2023
0/25120244
N LL LIMIT
$1,000,000
ANYAUTO
BODILY INJURY (par parson)
$�
OWNED SCNEDULCD
AUTOS ONLY _ AU 1W NED(
AUTEOS ONLY AUTOS ONLY
BODILY INJURY (Per acciclont)
$
X
S Q PERTY �AMAGE
/Calllelon
$$2,000/$2,000
A
UMBRELLA LIAR X OCCUR
XL82002208
8125/2023
8125/2029
_
EACH OCCURRENCE
$ 3,p00,000
I-Dra)
AGONEQAT
5,000,000
EXCESSLIAB CLAIM$.MADE
nETENTION $ _
$
B
WORKERBCOMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPnOPRIETOR/PARTNER/EXEOUTIVE ( i
(mandatory NH) EXCLUDED? �J
Mandy
Ites, describe under
S RIPTION OF OPERATIONS below
NIA
Y
23FWD'12680
8/25/2023
612512024
iS n O'rl.
S ATUTE MR
_
E.L. EACH ACCIDENT
$'1,000,000
E.L. DISEASE - CA EMPLOYEE
$1,000,000
13-1, DISEASE• POLICY LIMIT
$1,000,000
D Professional Liability 0000003973608 8123/2023 8115/2029 Limit of Liability 1,000 000
CF41CA01850'231 8125/2023 81251'2029 Retention 10,00b
Business Auto Physical Damage ACV
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space la required)
Vber Liability - Carrier: Trisura Specialty Insurance Company- NIAC #: 16188 -Policy OATBe60467703 - Effective: 7/22/2023-7/2212024- Lit -nit of Liability -
$1,000,000 -Retention W $10,000
RE: Encroachment Permit. Auto Liability Additional Insured applies per terms and conditions of the attached endorsement(s). Primary Wording for Auto Liability
applies per terms and conditions of the attached endorsement. Auto Liability Waiver of Subrogation appplies per terms and conditions of the attached
endorsement. General Liability Additional Insured applies per terms and conditions of the attached angorsernent(s), Primary Wording for General Liability
applies per terms and conditions of the attached endorsement. General Liability Weever of Subrogation applies per terms and conditions of the attached
endorsement. Workers Compensation Waiver of Subrogation applies per terms and conditions of the attached endorsement.
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills CA 94022
i
ACORD 25 (2016/03)
i
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�RtEPRE89NTATIVE
01988.2016 ACCORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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