HomeMy WebLinkAboutCertificate of Insurance (2)ACOR L>
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
09/12/2023
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.
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).
PRODUCER
Wai Cheng Insurance Agency Inc
6701 Koll Center Parkway #250
Pleasanton CA 94566
NAME: - Wai Cheng
FA
A1C No Ext): (510) 651-8788 (AIC, No): 510-280-7613
ADDRESS: wai@wciagency.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURERA: CNA
INSURED
C & C Electric Inc
Contractor's License number: 1046755
563 Julie Ann Way
Oakland CA 94621
INSURER B: AmGuard
INSURER C:
INSURER D :
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
LTR
TYPE OF INSURANCE
AWUL
INSD
bUtJK
WVD
POLICY NUMBER
POLICY EFF
(MMIDDIYYYY)
POLICY EXP
(MMIDDIYYYY)
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
CLAIMS -MADE ®OCCUR
PREMISESO(Eaocc urrrence) $ 300,000
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ Included
A
X
7038377161
05-08-2023
05-08-2024
'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $ 2,000,000
POLICY JE� LOC
P
PRODUCTS -COMP/OPAGG $ 2,000,000
-
OTHER:
AUTOMOBILE
LIABILITY
(Ea accident) $ 1,000,000
BODILY INJURY (Per person) $
ANY AUTO
EOWNED
/s
SCHEDULED
AUTOS ONLY AUTOS
X
CCAU429492
05/15/2023
05/15/2024
BODILY INJURY (Per accident) $
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPER I Y DAMAGE$
(Per accident)
UMBRELLA LAB
EACH OCCURRENCE $
EXCESS LIAB
HOCCUR
CLAIMS -MADE
AGGREGATE $
DED RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY N
YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑Y
NIA
7038374955
05/05/2023
05/05/2024
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
(Mandatory In NH)
If es, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Electrical Contractor: C&C Electric Inc
Contractor's License Number. 1046755 I
563 Julie Ann Way, Oakland, CA 94621
CERTIFICATE HOLDER CANCELLATION
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Town of Los Altos Hills
ACCORDANCE WITH THE POLICY PROVISIONS.
26379 Fremont Road
AUTHORIZED REPRESENTATIVE
Los Altos Hills CA 940022
ww"
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD