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HomeMy WebLinkAboutCertificate of Insurance (2)® CERTIFICATE OF LIABILITY INSURANCE A�o DAT/ 088/31/31/22018018 Y) 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 pollcy(les) 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 Parker, Smith & Feek, Inc. 2233 112th Avenue NE Bellevue, WA 98004 CONTACT NAME: PH �N E E t 425-709-3600 FAX No): 425-709-7460 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 9/1/2018 INSURER A : Hartford Fire Insurance Co. EACH OCCURRENCE $ 1,000,000 INSURED Alta Planning +Design, Inc 711 SE Grand Ave INSURER B: Hartford Casualty Ins. Co. INSURER C: Continental Casualty Company INSURER D: Portland, OR 97214 INSURER E: PRODUCTS - COMP/OP AGG $ 2,000,000 INSURER F: A COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDY� LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X $0 Deductible X 52UUNHB2172 9/1/2018 9/1/2019 EACH OCCURRENCE $ 1,000,000 DAMAGEPREMISESS ( RENTED 300,000 Ea occurrence $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN ERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY X PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X X LIABILITY ALL OWNED SCHEDULED X ANY AUTO AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS $1,000 ComK 52UUNHB2172 9/1/2018 9/1/2019 CND 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 52XHUHB1180 9/1/2018 9/1/2019 EACH OCCURRENCE $ 7,000,000 AGGREGATE $ 7,000,000 DED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITYY/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Ifyes, describe under DESCRIPTION OF OPERATIONS below N / A 52WEAA6IPB wa Stop Gap Liability WA OH 9/1/2018 9/1/2019 X WC STAT XOTH- 0 U - LI E E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Professional Liability MCH114135257 9/1/2018 9/1/2019 $5,000,000 per claim $5,000,000 per aggregate $75,000 per claim deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Project #00-2016-391 - Los Altos, CA Pathway Inventory and Assessment. Town of Los Altos Hills, is additional insured on the general liability policy per the attached endorsements/forms. Town of Los Altos Hills 26379 Fremont Road Los Altos, CA 94022 ACORD 25 (2010/05) 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 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 of 8 ("rGB00)