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�arYww^
y BILITY INSURANCE
CERTIFICATE OF LIABILITY
DATE(MMIDDIYYYY)
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 policy(lea) 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
MCGRIFF INS SERVICES
7701 AIRPORT CTR 1800, GREENSBORO, NC 27409
CONTACT
NAME: Pro resslve Commercial Lines Customer and Agent Servicing
PHONE FAX
(AIC, No, Ext: 1-800_444
ADDRICSS: progressivecommercial@emall.progressive.com T
INSURER($) AFFORDING COVERAGE NAIC #
INSURER A: United Financial Cas Co 11770
INSURED
BYLDAN CORPORATION DBA: CLARUM HOMES & CLARUM COM
INSURER B:
MED EXP Any oneperson)
P O BOX 60970
INSURER C :
_
INSURER D:
PALO ALTO, CA 94306
INSURER E
A
INSURER F'; _
LIABILITY
ApNn/Y�AUTO Y
RuTE05 ONLY X AUTUDULED
AUTOS ONLY NON-OWNED
ONLY
COVERAGES CERTIFICATE NUMBER: 548254530290718805D071123T147513 REVISION NIIMRFR-
THIS 1S 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
ADDL
INSD
SUBR
WVO
POLICYNUMBER
POLICY EFF
(MMIDDIYYYY
POLICY EXP
(MMIDDIYYYY)
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURENCE $
PRMMOSOE. RENTED. nce —
MED EXP Any oneperson)
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY ❑JECT ❑LOC
OTHER:
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGO
$
A
AUTOMOBILE
X
LIABILITY
ApNn/Y�AUTO Y
RuTE05 ONLY X AUTUDULED
AUTOS ONLY NON-OWNED
ONLY
Y
N
059222806
02/23/2023
02/23/2024
COMBINED SINGLE LIMIT
Ea accident $1 000.000
BODILY INJURY (Per person) $
BODILY INJURY Per accident $
P OPEI�de t AMAOE $
er acc
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE $
AGGREGATE $
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED7 LJN
(Mandatory in NH)
If yes, dosorlbe under
DESCRIPTION OF OPERATIONS below
/A
H
E.L. EACH ACCIDENT_ - $
— —
E.L. DISEASE- EA EMPLOYE $
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required)
CERTIFICATE HOLDER CANCELLATION
THE TOWN OF LOS ALOS HILLS ITS ELECTED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
AND APPOINTED OFFICERS, EMPLOYEES AND
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
VOLUNTEERS
ACCORDANCE WITH THE POLICY PROVISIONS.
26379 FREMONT RD
LOS ALTOS, CA 94022
AUTHORIZED REPRESENTATIVE
O 1980.2015 ACORD CORPORATION. All rights reserved.
48 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD