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CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
1 09/12/2023
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 HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(Ies) 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
NAME: Wai Cheng
Wai Cheng Insurance Agency Inc
PH , ONE 510 651-8788 510-280-7613
AIC o Ext): ( (AICNo
ADDRESS: wai@wciagency.com
6701 Kell Center Parkway #250
INSURER(S) AFFORDING COVERAGE NAIC #
05-08-2023
Pleasanton CA 94566
INSURER A : CNA
INSURED
INSURER B: AmGuard
C & C Electric Inc
INSURER C :
Contractor's License number: 1046755
INSURER D :
563 Julie Ann Way
INSURER E :
Oakland CA 94621
INSURER F:
GUVERAGES CERTIFICATE NUMBER OrA/MinKI uttnnaGta•
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.
MR
LTR
TYPE OF INSURANCE
AUL&
INSD
bUtJ
WVD
POLICY NUMBER
POLICY FFF
(MMIDD/YYYY)
POLICY EXP
(MM/DD/YYYY)
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ® OCCUR
X
7038377161
05-08-2023
05-08-2024
EACH OCCURRENCE $ 1,000,000
PREMISES (Ea occurrence) $ 300,000
MED EXP (Any one person) $ 10,000
PERSONAL&ADV INJURY $ Included
'L AGGREGATE LIMIT APPLIES PER:
POLICY PRC F—]JECT LOC
ROTHER:
GENERAL AGGREGATE $ 2,000,000
PRODUCTS -COMP/OP AGG $ 2,000,000
$
13OWNED
AUTOMOBILE
K
LIABILITY
ANY AUTO
SCHEDULED
AUTOS ONLY AUTOS
HIRED NON-OWNEDPRC
AUTOS ONLY AUTOS ONLY
X
CCAU429492
05/15/2023
05/15/2024
(Ea accident) $ 1,000,000
BODILY INJURY (Per person) $
BODILY INJURY (Per accident $
)
(Per accident) $
UMBRELLA LIABOCCUR
EXCESS LIAB
HCLAIMS-MADE
EACH OCCURRENCE $
AGGREGATE $
DED I I RETENTION $
$
A
ORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/ N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
7038374955
05/05/2023
05/05/2024
STATUTE ER
E.L. 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)
Electrical Contractor: C&C Electric Inc
Contractor's License Number, 1046755
563 Julie Ann Way, Oakland, CA 94621
u•,1ci
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 Fremont RoadI 'r,t. a AUTHORIZED REPRESENTATIVE
Los Altos Hills CA 940022
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