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307BYLDACOR
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ACORD. CERTIFICATE OFLIABILITY INSURANCE
DATE(MM/DD/YYYY)
TYPE OF INSURANCE
9/13/2023
.THIS CERTIFICATE IS ISSUED ASA 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(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 any rights to the certificate holder In lieu of such endorsement($).
PRODUCER
NANTACT
McGrlff Insurance Services LLC
PHONE - I FFA'--
A/C, _ o, Ext:: (A
3130 Crow Canyon PI, Ste. 400
EMAIL
ADgRES5 CertsCA_ @mcg riff.com_
San Ramon, f iA 94583
PpAqV�E p_� RENTED
PREMISES eENcurrence_
925 463.9672
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: United Specialty Insurance Co 12537
INSURED
Byldan Corporation
INSURER a. Everest Premier Insurance Company 16045
INSURER C: United Financial Casualty Company 11770
P O Box 60970
INSURER P:
Palo Alto, CA 94306-0970
INSURER e:
INSURER F:
C
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY 13E 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.
INSFI
LTR
TYPE OF INSURANCE
ADDLSUDR
NSR
WVD
`POLICY NUMBER
POLICY EFF
MM/DDlYYYYL
POLICY EXP
M( MIDD/YYYY)
LIMITS
A
_
X COMMERCIAL GENERAL LIABILITY
CLAIMS•MADE ®OCCUR
X BI/PD Ded:5,000
ATN2346343
55/22/2023
05/22/2024
EACH OCCURRENCE
$1,000,000
PpAqV�E p_� RENTED
PREMISES eENcurrence_
$50,000
MED EXP (Any one person)
_
$ 5 000
PERSONAL & ADV INJURY
$1 00%000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY a JECOT [I LOC
OTHER:_
GENERAL AGGREGATE
$2 QO0,000
PRODUCTS -COMP/OP AGG
s2,000,000
C
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
0559222806
x/23/2023
02.%j 23/2024
COMBINED SINGLE LIMIT
Ea ace nt
_$_
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
A
)(
UMBRELLA LIAR
EXCESS LIAR
}(
OCCUR
CLAIMS -MADE
BTN2340277
5/22/2023
05/22/2024
EACH OCCURRENCE
$51000,000
AGGREGATE
$5 0QQ
DED RETENTION
_
az00—z0_.�
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
Dyyes,RIPTI describe
DESCRIPTION OF OPERATIONS below
NIA
CA10001263231
0/01/2023
10/01/2024
PER 0TH -
X
E.L. EACH ACCIDENT
$1,000,000
E•L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
1$1,000,000
^_
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached If more space Is required)
Re: Encroachment permit -13010 E. Sunset Road Widening. The City of Los Altos, its officers, officials,
employees and volunteers are included as Additional Insured as respects general Liability and Auto Liability
as required by written Contract. 30 Days Notice of Cancellation, Except for 10 Days for Non-payment of
Premium. Excess Liability Follows Form.
The Town of Los Altos Hills,
its elective & appointed officers,
employee & volunteers
26379 Fremont Rd.
Los Altos, CA 94022
ACORD 25 (2016/03) 1 of 1
44 #S32868005/M32865069
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 R�EyP, REp89NNTTA�TTIIV,E,
P 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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