HomeMy WebLinkAboutCertificate of Insurance 2018 (2)Allstate Northbrook Indemnity Company
8701 Freeport Pkwy N.
Irving TX 75063
III'llllllllllllllll"III'lll'll'III'lll'lll'llllll'IIIII'lllll'I
TOWN OF LOS ALTOS HI
26379 W FREMONT RD
LOS ALTOS HILLS CA 94022-2624
Certificate of Insurance
The person or organization designated below is described in the policy as:
Effective date of certificate:
January 22, 2018 Page 1 of 2
Policyholder:
CARL THEODORE CAHILL AND
HEATHER L CAHILL
PO BOX 3322
LOS ALTOS CA 94024-0322
Policy number
699 699 601
Allstate Northbrook Indemnity
Company
Northbrook, Illinois, certifies that
the following insurance is in force:
Policy period:
Beginning January 22, 2018
through July 22, 2018
at 12:01 a.m. standard time
TOWN OF LOS ALTOS HI
❑ Lienholder
Agent:
26379 FREMONT RD
(Loss Payable Clause)
SAM & ASSC INS AGY
LOS ALTOS HILLS, CA 94022-2624 � Additional Interested Party (415) 665-0181
Coverages designated below are afforded for each described vehicle:
item
VIN
Limit of liability
Deductible_
2000 SLK230
WDBKK47F4YF164508
BI Each Person $500,000
Each Occurrence $500,000
PD Each Occurrence $500,000
• Collision
$500
• Comprehensive
_
$500
2007 SIENNA
5TDZK23C17S031946
BI Each Person $500,000
Each Occurrence $500,000
PD Each Occurrence $500,000
• Collision
$500
• Comprehensive
$500
2015 WRANGLER
1C4AJWAG5FL746774
BI Each Person $500,000
Each Occurrence $500,000
PD Each Occurrence $500,000
• Collision
$500
• Comprehensive
$500
See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded
by the policy referred to above.
Date: 11/30/17 D1697 in
Certificate of Insurance Page 2 of 2
Allstate Northbrook Indemnitycompany
Policy number: 699 699 601
The Loss Payable Clause of such policy provides:
"The company reserves the right to cancel such policy at any time as provided by its terms, but in such case the company shall
notify the Lienholder when not less than ten days thereafter such cancellation shall be effective as to the interest of said
Lienholder therein and the company shall have the right, on like notice, to cancel this agreement."
The Additional Interest Endorsement of such policy, in part, provides:
"...such insurance as is afforded by the policy" for automobile liability insurance listed on the reverse side hereof applies also to
the person or organization named as Additional Interested Party. "As respects such... interest, no cancellation—and no
endorse ment...adversely affecting such additional interest, shall be effective until ten ('IU) days following the mailing of written
notice (to the person or organization) of such cancellation or endorsement..."