HomeMy WebLinkAboutIrish Construction, A CA Corp.�d ® CERTIFICATE F LIABILITY INSURANCEDATE(MM/QQ/YYYY)
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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 pa icy(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
Aon Risk insurance services West, Inc.
Irvine CA Office
CONITAOT
NAME:
PHONE (949) 608-6300 FAX (949) 608-6459
(AIC. No. Ext); AIC. No.):
E-MAIL
ADDRESS:
17875 Von Karman Avenue, Suite 300
Irvine CA 92614 USA
INSURER(S) AFFORDING COVERAGE NAIC #
GLO
INSURED
INSURERA: Zurich American Ins CO 16535
Irish Construction, A CA Corp.
2641 River Avenue
INSURER B:
INSURER 0:
Rosemead CA 91770 USA
INSURER D:
INSURER E:
DAMAUETO RENTED PREMISES Ea occurrence)$500,000
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570103188144 REVISION NUMBER:
THIS 1S TO CER IFY 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. Limits shown are as requested
L R
TYPE OF INSURANCE
INISD
VD-BUBB
POLICY NUMBER
MlDD/YYYY
MM/ D/YYYYFNP
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
GLO
EACH OCCURRENCE $2,000,000
CLAIMS MADE OCCUR
DAMAUETO RENTED PREMISES Ea occurrence)$500,000
MED EXP (Any one person) $10,000
PERSONAL &ADV INJURY $2,900,000
GEN'LAGGREGATE LIMITAPPLIES PER:
GENERALAGGREGATE $4,000,000
POLICY [fl PRO- F] LOC
/ECT
PRODUCTS - COMP/OP AGG $4,000,000
OTHER:
A
AUTOMOBILE LIABILITY
BAP 0229947 - 08
01/01/2024
01/01/2025
COMBINED SINGLE LIMIT
(Ea accident $2,000,000
BODILY INJURY ( Per person)
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIREDAUTOS NON -OWNED
ONLY AUTOS ONLY
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident
UMBRELLALIAB OCCUR
EACH OCCURRENCE
EXCESS LIAR CLAIMS -MADE
AGGREGATE
DED I RETENTION �^
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? M
(Mandatory In NH)
N/A
WC622 9 608
517-672024
0 01 62
X PER STATUTE OTH.
ER
_
E.L, EACH ACCIDENT $1,000,000
E.L. DISEASE -EA EMPLOYEE $1,000,000
If Yyes describe under
DE, RIPTION OF OPERATIONS below
E.L. DISEASE.POLICY LIMIT $1,000, 000
I
t
I
—
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Re: All AT&T jobs performed in the Town Of LOS Altos Hills. The Town Of LOS Altos Hills & its officers, agents & other
party(ies) as required by contract/agreement are included as Additional Insured in accordance with the policy provisions of the
General Liability policy. General Liability policy evidenced herein is Primary & Non-contributory to other insurance available
to an Additional Insured, but only in accordance with the policy's provisions.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
j ,;'' Town Of LOS Altos Hills AUTHORIZED REPRESENTATIVE
26379 Fremont Road
ii
Los Altos Hills CA 94022 USA an AW -Lr nm
C:
CD
.a
O
01988.2016 ACORD CORPORATION, All rights reserved.
ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD