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Home My WebLink AboutMichael Baker International, Inc. (3), /At�" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1 08/16/2023 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. PO_FI1T_A_NT_. Iffthe —cert If lea—to hol er is an A DI IO L INS URED7 the 06licy(les) must have 'ADDITIONAL INSURED provisions or be endorsed. 7— 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 Aon Risk Services Central, Inc. Pittsburgh PA Office EQT Plaza - suite 2700 625 Liberty Avenue Pittsburgh PA 15222-3110 USA CONTACT P (&TINE.. I (FAX Ext): (866) 283-7122 QAC. No,): (800) 363-0105 UMDARIESS: INSURER(S) AFFORDING COVERAGE NAIC Ik INSURED INSURER A: XL insurance America Inc 24554 Michael Baker international, Inc. 9635 Granite Ridge Drive suite 300 INSURER B: Allied world surplus Lines insurance cc 2431.9 INSURER 0: American Guarantee & Liability ins co 26247 San Diego CA 92124 USA INSURER D: Zurich American ins co 16535 INSURER E: CLAIMS -MADE E OCCUR INSURER F: COVERAGES CERTIFICATE NUMBER: 570101189166 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. Limits shown are as requested TNSIT LTA TYPE OF INSURANCE ADDIT INSD %UB VD POLICY NUMBER r YV� POLISY 'MM/D /YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY GLOTfg= MR% 4 EACH OCCURRENCE $110001000 CLAIMS -MADE E OCCUR DAMAGE 1`0 RENTED— $1,000,000 PREMISES (Ea occurrence) MED EXP (Any one person) $10,000 PERSONAL& ADV INJURY $1,000,000 GENIAGGREGATE LIMIT APPLIES PER: POLICY PRO- FXJ LOC EJECT GENERAL AGGREGATE $2,000,006 PRODUCTS - COMP/OP AGG $4,000,000 OTHER: D AUTOMOBILE LIABILITY BAP -4197284-02 08/30/2023 09/3072024 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY X AUTOS ONLY PRO (par =DAMAGE t) UMBRELLAILIAB X 07 00UH CLAIMS AUC053258205 0873072073 T87.302024 EACH OCCURRENCE EXCESS LIAR 7 -MADE AGGREGATE $10,000,000 DED.1 X IRETENTION $10,000 0 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICEWMEMBER EXCLUE � (Mandatory In NH) If on describe under D RIPTION OF OPERATIONS below N/A WC419728202 AOS WC419728502 wi 6973572623 08/30/2023 —68-/1-672-524 08/30/2024 X I PER� M E.L, EACHACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 E&O - Professionil Liability 03124806 08/30/2024 Per claim , , , __$_110001000 Primary claims made Aggregate $1,000,000 SIR applies per policy terns & conditions DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) The Town of LOS Alto$ Hills its officers, officials, employees and volunteers are included as Additional insured in accordance with the policy provisions ;f the General Liability and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein are Primary and Non-contributory to other insurance available to Additional insured, but only in accordance with the provisions. A waiver of subrogation is granted in favor of The Town of Los Altos Hills, its officers officials, employeespolicy's provisions. volunteers in accordance with the policy provisions of the General Liability, Automobile Liability, Professional Liability and workers' compensation policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town Of LOS Altos Hills AUTHORIZED REPRESENTATIVE 26379 Fremont Road LOS Altos Hills CA 94022 USA P,4445�Liwd wew�, 0L. 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 0 Z