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Home My WebLink AboutR.J. Dailey Construction Co.R CERTIFICATE OF LIABILITY INSURANCE DA10/5/2002222 DD 10/5 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 tCE cc rlyn Eaton _ FAX Leavitt Pacific Insurance Brokers, Inc. (408)288-6262 AC No; (408)298-'1635 ON TAIGrlyn-Baton@leavitt.comLicense #0D79674 INSURERS APFORDINO COVERAGENAIC; 1570 The Alameda, Suite 101 ERJ� �DII San Jose CA 95126 a itol S ecialt Insurance Cor oratior 10328 INSURED ationwide Mutual Insurance Company 23787 R,J. Dailey Construction Co. INSURERC:Crum & Forster Specialty Insurance Com 44520 401 First Street INSURER D: Redwood Fire & CasualtX_Insurance Corn a 11673 WAIIUFRF-James River Insurance Cam_2Aay 12203 Los Altos CA 94022 1 INSURER F: --- RFVISIC)N NUMBER: COVERAGES GCKIIP ItrHIG 11—y— .--- LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TI.1IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE OR NT DHEREIN EIS WITH ESPECT TO I HIS IiBEDER INSURANCE AFFORDED BY THE POLICIES DESCCRCT , T 10 ALL THE'TEIRHMS SUBJECT CERTIFICATE MAY BE ISSUEDIICR MAY PERTAIN, THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADDL SUER POLICY EFF POLICY EXP MMfDD/YYYY TYPE OF INSURANCE POLICY NUMBER (MM YY LIMITS LTR EACH OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIABILITY pAMAGE TO KtllTEDr 100, 000 � PREfv11SE5 4Ea nc.currence S A CLAIMS -MADE OCCUR 5,000 X C:T2019023304 10/1/2022 10/3/2023 MED EXf(Any one person) ^^y ..._...._.._. PERSOIIAL €, ADV U �IJURY 1 000 000 GEHERALAGGREGATE S 2.,000,000 GEN'LAGGREGATE LIMP APPLIES PER. �j 2,000 000 pR0- POLICY LOC PRODUCTS - COMPII:)p At3G S _... .........._... ___m_.____-_.____._.... , _J JECT OTHER: AUTOMOBILELIABILITY - COM6HEDSIHOLELIMIT -LEa acade,Ilu............ ................_._.._....,., 71-1, .,.._....,_.....,.,_...............,...._...._........................ 000,000 BODILY INJURY (Per person) $ B X ANYAUTO ALL OWNED SCHEDULED AL'F302988998E 10/1/2022 10/1/2023 BODILY INJURY (Per accident) C -....... PROPERTY DAMAGE S AUTOS AUTOS IdOP!-C)WNED Per accident),„____ HIREDAUTOS AUTOS S EACH OCC CE S 5 ,.000,000 UMBRELLA LIAB X OCCUR ........ --__ ..... AGGREGATE $ 5,000,000 X EXCESS LIAB CLAIMS -MADE C 8Eo120703 10/1/2022 111/1/2023 $ DED RETEt1TION S WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT S 1,000,000 ANY PRC)PRIETOR)PARTI•IERILXECLITIVE NIA E.L. DISEASE - EA EMPLOYEE S 1,000,000 OFFIDERMIEIviBER EXCLUDED? RJWC329935 10/1/2022 10/1/2023 D (Mandatory In NH) If ns. describe under below E.L. DISEASE - POLICY LIMIT $ —11-00-0-4.0- 00 B DESCRIPTION OF OPERATIONS Rented/Leased Equipment AC:P3029B89886 10/1/2022 10/1/2023 Deductible 9,500 - 1-111111 100,000 E Excess Liability/Umbrella 000959433 10/1/2022 10/1/2023 Each OccurrencoAggregate 5,000,000 101, Additional Remarks Schedule, may be attached If more space Is required)," DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD Town of Los Altos Hills is named as additional insured per GL endorsement. CFKI H-I(:AI t MUL-UCK Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 e%ANIr.r1 I ATInN 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 red Stafford/C:HDOEH -2014 ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) T r,. ORPORATION. All rights