HomeMy WebLinkAboutJ&M Termite Control, IncP5260028002
7.0
CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDONYYY)
10/02/2023
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($), 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 rights to the certificate holder in Ileu of such endorsement(s).
PRODU09R LIC #CA LXC OB2 1-877-220-0000
Edgewood Partners insurance Center (EPIC)
[Sacramento Branch - Branch ID 155593 DIV# 407
PO BOX 2110
CO TACT
NAME: Jen Ackerman
PHONE PAX
C ,916-507-2352 AIC No:
ADDRESS: Jen.ackerman@epicbrokers.com
_
INSURER( S) AFFORDING COVERAGE NAIC #
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 1�1OCCURRMAGE
INSURERAt NOVA CAS CO 42552
Rancho Cordova, CA 95670
INSURED
J & M Termite Control, Inc.
_
INSURER B: Clear Spring Property and Casualty Co. 15563
03/08/24
EACH OCCURRENCE $ 1,000,000
INSURER C:
INSURER D:
159 North whisman Road
INSURERE:
INSURER P:
Mountain View, CA 94043
COVERAGES CERTIFICATE. NIUMPERr 69830546 RFVRRInm MIINtlRFR.
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
ADDL
SUBR
POLICYNUMBER
POLICY EFF
iMMIDDNYYYL
POLICY EXP
(MM/DQNYYY)LIMITS
USA
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 1�1OCCURRMAGE
POCXLIO00004807
03/08/23
03/08/24
EACH OCCURRENCE $ 1,000,000
TO RENT
EMISES Eaoca ce $ 100,000
MED EXP (Any one person) $ 5,000
X Pestioide/Herbioide
PERSONAL &ADV INJURY $ 1,000,000
GEMLAGGREGATE LIMIT APPLIES PER:
X POLICY ❑ JER LOC
GENERALAGGREGATE $ 2,000,000
PRODUCTS -COMPIOPAGG $ 2,000,000
$
OTHER;
A
AUTOMOBILE
LIABILITY
POCML1000004807
03/08/23
03/08/24
0 81 EO IN LE LIMIT $_1,000,000
Ea accident
•.�
BODILY INJURY (Per person) $
XANY
AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
( BODILY INJURY Par accident) $
X
HIREDX NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTYDAMAGE $
Pe accident)
$
HCLAIMS•MADE
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EENRgNJ_
$
B
WOREMPLOYE S'LIATIONILIT YIN
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNERIEXECUTIVE j v jNIA
OF FICER/MEMBEREXCLUDED7 �i
CSWC00032004
10/01/23
10/01/24
X STATUTE ER"
_
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE -EA EMPLOYEE $ 1,000,000
(Mandatory In NH)
If yes describsunder
DESCRIPTION OF OPERATIONS below
_- —
E1. DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more space Is required)
Re: work performed by Named Insured as per written contract. Additional Insured: Town of Los Altos Hills.
CERTIFICATE HOLDER CANCFI_I_ATInN
ACORD 25 (2016103)
Jackerman
69830546
01988.2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks Of ACORD
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town. of Los Altos Hills
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Building Inspection Dept.
ACCORDANCE WITH THE POLICY PROVISIONS.
26379 w Fremont Rd
AUTHORIZED REPRESENTATIVE
Los Altos Hills„ CA 94022
USA
ACORD 25 (2016103)
Jackerman
69830546
01988.2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks Of ACORD
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