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Home My WebLink AboutCertificate of Insurance 2016AC®R"" CERTIFICATE OF LIABILITY INSURANCE �....--� FDATE(MM/DD/YYYY) 2/29/2016 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 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 Liana Michel NAME: CLCA Insurance Solutions P.O. Box 1330 PHONE 855-662-2522 FAX 530-662-1710 _(A/C, No, Ext): _ (AIC No): E-MAIL liana.michel@arm-j* ADDRESS: Woodland, CA 95776 INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:Insurance Company of the West 27847 $ INSURED INSURER B Curtis Horticulture, Inc. INSURER C: 1034 W Julian Street _ INSURER D: _ Sari Jose, CA 95126 - INSURER E: INSURER F: $ COVERAGES CERTIFICATE NUMBER:022916 REVISION NUMBER: 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, N_ R? LTR : TYPE OF INSURANCE ADDL D SUBR WVD POLICY EFF '�, POLICY EXP POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY — CLAIMS -MADE OCCUR i EACH OCCURRENCE - 1 DAMAGE TO RENTED I PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY_ i GENERAL AGGREGATE 1 PRODUCTS - COMP/OP AGG 1 $ $ $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY i_ PE LOC OTHER: $ $ $ $ AUTOMOBILE LIABILITY ANY AUTO ! ALL OWNED SCHEDULED AUTOS AUTOS I NON -OWNED HIRED AUTOS AUTOS �i COMBINED SINGLE LIMIT (Ea accident)_ BODILY INJURY (Per person) BODILY INJURY Per accident ( ) PROPERTY DAMAGE _(Per accident) $ - $ $ $ $ !i UMBRELLA LIAB OCCUR EXCESS LIABCLAIMS-MADE EACH OCCURRENCE $ i -AGGREGATE $ DED ! RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE 1 OFFICER/MEMBER EXCLUDED? 1 (Mandatory in NH) If yes, describe under— DESCRIPTION OF OPERATIONS below N / A X STATUTE �RH _ _ E L EACH ACCIDENT i �-.--' _ WSA 5033076 00 3/1/2016 3/1/2017 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT $ 1 000 000 1,000,000 $ 1,000,000 $ 11000,000 I i it I I I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Los Altos - Contractors 26379 Fremont Road Los Altos, CA 94022 ACORD 25 (2014/01) INS025 (201401) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Gina Stanley/LINA U 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD