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HomeMy WebLinkAboutByldan Corporation (4)Client#:1531636 307BYLDACOR page 2 of 9 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 TOMOC