The URL can be used to link to this page

Home My WebLink AboutLewis and Tibbits, Inc. (3)ACC) CERTIFICATE OF LIABILITY INSURANCE712/27/20, E(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR 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 CONTACT Woodruff -Sawyer & Co. NAME: Rose Amoroso PHONEpAX 50 California Street, Floor 12 A/C No Ext), 415-402-6607 A/C No : San Francisco CA 94111 E-MAIL ADDRESS: ramOrOSO0WOOdrllffSawvar rnm INSURED Lewis and Tibbitts, Inc. 1470 Industrial Avenue San Jose CA 95112 A: Hartford Fire Insurance a: Hartford Casualtv Inslir. t:KAUt NAIC # iny 19682 ompany 29424 Ltd. 11000 COVERAGES /`CDTICI!`ATC A1111111 mr-V101VIVIVUIVIOLK: TH THIS IS TO CERTIFY AT 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 ADDL SUBR POLICY LTR TYPE OF INSURANCE INSD WV POLICY NUMBER MM/DDYY POLICMMIDD�Y P LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Px�OCCUR 57UEABAOZC4 1/1/2024 1/1/2025 EACH OCCURRENCE $1,000,000 —DAMAGE TO PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [�] PE LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 57UEAZM14161/1/2024 1/1/2025 COMBINEDSINGLELIMIT $1,000,000 Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBREEXCESS LALIAB EXCESS LIAB X OCCUR CLAIMS -MADE 57HHABAOZC6 1/1/2024 1/1/2025 EACH OCCURRENCE $10,000,000 AGGREGATE $ 10,000,000 C DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY / N OFFICE /MEMB R PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED9 � MandatoryinNH) If yes, describe under N I A 57WEAPK7544 1/1/2024 1/1/2025 $ X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below 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) All California Operations performed by the Named Insured for the certificate holder CCATICIf%ATC Unl Mn, Town of Los Altos Hills 26379 Fremont Rd Los Altos Hills CA 94022 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ORIZED REPRESENTATIVE 0—c— v M atsu-ZU15 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Ate, EVIDENCE OF PROPERTY INSURANCE FDATE(MM/DD/YYYY) 12/27/20, THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW, THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THI ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY A/CPHONE Ext .415-402-6607 COMPANY Woodruff -Sawyer & Co, Hartford Fire Insurance Company 50 California Street, Floor 12 4440 Piedras Drive South, 2nd Fl. San Francisco, CA 94111 San Antonio, TX 78228 A/c No): 415-989-9923 1 AooRess: ramoroso@woodruffsawyer.com CODE: I SUB CODE: INSURED Lewis and Tibbitts, Inc. 1470 Industrial Avenue San Jose CA 95112 rKUYtKI T INI-UF LO CATI ONID ES CRI PTI ON LOAN NUMBER POLICY NUMBER 57UUMBE2262 EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 01/01/2024 01/01/2025 nTERMINATED IFCHECKED THIS REPLACES PRIOR EVIDENCE DATED: 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 EVIDENCE OF PROPERTY INSURANCE 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. CA\/CDA!'-C IKICn CRAAT1^K1 -. _.,.. _ ..._..___ I I _ . _ _ _ - - vl-GIi IFiL ADDITIONAL INSURED MORTGAGEE COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE Installation Floater $3,000,000 $2,500 All California Operations performed by the Named Insured for the certificate holder 1iF11V V CLLR I JUIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P1YYI I IVIYML 11V 1 GItr-Q NAME AND ADDRESS ADDITIONAL INSURED MORTGAGEE LENDER'S LOSS PAYABLE Ll LOSS PAYEE LOAN # Town of Los Altos Hills 26379 Fremont Rd AUTHORIZED REPRESENTATIVE Los Altos Hills, CA 94022 n /'nen n9 /nnA n_1nm ox.- - - - - -- - -�� v'lyya-LU•I0 HCUKU GUKPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD