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HomeMy WebLinkAboutIzmirian Roofing & Sheet Metal (2)CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/28/2023 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 MOLDER. 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 rights to the certificate holder In lieu of such endorsement($). PRODUCER Arthur J. Galla?her Risk Management Services, LLC 2121 North California Boulevard NAMEA GegifIcate Department PHONE , PAX enc _X�92� 22999-1.1112 A/C No): 925-953.6270 Suite 360 Walnut Creek CA 94696 ADD ESS: CertRequests@ajg.com INSURERAAFFORDINGCOVERAGE NAIL# INSURER A: Associated Industries Insurance CO Inc 23140 Asq#j OD U3 Uge INSURED IZMIROO.01 izmirian Roofing & Sheet Metal 229 S. Railroad Avenue INSURER B; Redwood Fire and Casualty Insurance Co 11673 lNsuREIi c :California Automobile Insurance Com anpagy__ 38342 NSURERD San Mateo, CA 94401-3339 INSURER E GEN'L AGGREGATE LIMIT APPLIES PER: POLICY L.!'.J JE fl LOC OTHER: _PERS_ONAL&ADVINJUR_Y GENERAL AGGREGATE � INSURER P; PRODUCTS -COMP/OP AGO $ 2000,000 COVERAGES CERTIFICATE NUMBER: 273599810 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. -CN-1 R __ TYPE OF IMSURANCEW THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN UR — _ _�w..�,� _ UMBER PQLICY EPh� /DD/YYYI_ �DCY EXP"�� jMN/DDIXYYYLLIMITS AUTHORIZED REPRESENT TIVF «PSK A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X_ OCCUR _POLICY AE31044895006 10/1/2023 10/1/2024 EACH OCCURRENCE $1,000,000 __MED PRE Iiv1v SETO ENTED currence� $100,000 EXP (Any one person $ 5,0_00 X /PER OCC r _ $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY L.!'.J JE fl LOC OTHER: _PERS_ONAL&ADVINJUR_Y GENERAL AGGREGATE � $ 2,000,000 PRODUCTS -COMP/OP AGO $ 2000,000 $ C AUTOMOBILE X E LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X - AUTONON-S ONLY BA040000062222 10/1/2023 10/1/2024 CMB N SINGLE iMIT a accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJUf1Y(Per accldent) $ Y� r(PWNED opacoid ntDAMAGE $ UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ �~ � DED �^ RETENTION _ q $ B WORKERS COMPENSATION . AND EMPLOYEn$' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEM DER EXCLUDED? (Mandatory in NH) Ifes describe under DSG�RIPTION OF OPERATIONS below N/A IZWC412402 10/1/2023 10/1/2024 X PER TETH EL, EACH ACCIDENT _ $1,000,000 E.L. DISEASE - EA EMPLOYEE — $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Evidence of Coverage CERTIFICATE HOLDER . CANCELLATION ©19882015 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 W Fremont Rd. AUTHORIZED REPRESENT TIVF «PSK LOS Altos HIIIS CA 94022-2624 USA ©19882015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD