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HomeMy WebLinkAboutCertificate of Insurance (2)MEYER10 np In- RF ,4�� ®M CERTIFICATE OF LIABILITY INSURANCE AV) F04/19/2021 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(les) 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 858-514-7123 Ahern Insurance Brokerage 9655 Granite Ridge Dr., #500 San Diego CA 92123 Shawn M. Moyle CO TACT Shawn M. Royle PHONE 858-514-7123 FAX 858-571-9010 (A/C, No, Ext): (A/C, No): Egli IEss: sroy e a ernlnsurance.com — INSURER(S) AFFORDING COVERAGE NAIC d INSURER A: Ascot Speclalty Insurance Clomp 45055 4SURED eyers Nave, A Professional Corporation INSURER B — _ -- INSURER C — 1989 Harrison Street, 9th FI. Oakland, CA 94612 INSURERD: INSURER E : — $ ---------------- INSURER F: CnVFRAr;FR r:FRTIFICATF NI IMRFR- oc%aelnnl 11.111"000. 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. IN SR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRCOMMERCIAL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Los Altos Hills GENERAL LIABILITY CLAIMS -MADE OCCUR City Manager AUTHORIZED REPRESENTATIVE 26379 Fremont Road Los Altos Hills, CA 94022 EACH OCCURRENCE DAMAGE TO RENTED _EREMISE�Egoccur _$_ EXP (Any one_ersonL $ _.__ "MED PERSONAL &ADV INJURY_ — $ ---------------- GEN'L -- AGGREGATE LIMIT APPLIES PER: POLICY PE T I .� LOC GENERAL AGGREGATE PRODUCTS - W P/OP AGG _$—__—__- OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident__--___ $ BODILY INJURY fPer arson $ — ANY AUTO OWNED SCHEDULED __ AURTOS ONLY AUTOSSWNEp BODILY INJURY (Per accident ---- — AUTOS ONLY A� OS ONLY S�WOaccidentAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ _ _ ANDEPLERLBIN MOYS LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE F— ,QF.F.I�ER/MEMBERR EXCLUDED? J (Mtory In NH) If yes, describe under NIA PER — TUTE E_R__ — E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ --- — -- — DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT A PROFESSIONAL LIAR. LPPL2110000427-01 05/01/2021 05/01/2022 PER CLAIM 5,000,000 (LAWYERS) AGGREGATE 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) DEDUCTIBLE (AGGREGATn�): $200,000 ftFRTIFICATF Hrll r1FR CAnICC1 I ATInn1 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Los Altos Hills ACCORDANCE WITH THE POLICY PROVISIONS. City Manager AUTHORIZED REPRESENTATIVE 26379 Fremont Road Los Altos Hills, CA 94022 ;9_� ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD