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Home My WebLink AboutFerma Corporation (4)P520002HOO2 CERTIFICATE OF LIABILITY IINSURANCE[: E(MMIDDIYYYY) 1:,A/05/2022 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. 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 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 LIC OM77949 1^888-845^2248 NAME: McSherry & Hudson, An Alera Group Company PHONE FAX (AIC _N, )L 08 50-2130 —_ —SAIC N, o); 408^550-2119 1901 S. Bascom Avenue EMAIL ADDRESS:T _ ----- INSURER (SAFFORDINGCOVERAGE _ _ NAICS Suite 1190 Campbell, CA 95008 STARR INA & LIAB CO �_-- 38318 Charles M. GriswoldINSUR_E_RA; INSURED - — — INSURER B:_HOMESXTE INS CO 1722_1_ Ferma Corporation INSURERC: Tokio Marine Specialty Insurance ^Compan 23850 INSURER D: MED EXP Awn � one person) 6639 Smit12 Avenue INSURER E_— $1,000,000 Newark, CA 94560 T� INSURER F: COVERAGES CERTIFICATE NUMBER: 66849489 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. mg] L R -- — TYPE OF INSURANCE DLS(TB_R INSR WVQ POLICY NUMBER MIDDIYYYYL (MM/ODIYYYY1 LIMITS A GENERAL LIABILITY X X 1000025823221 10/01/22 10/01/23 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 5AMAGE'f0 RENTED PREMISES (Ea occurrence �! $ 100,000 MED EXP Awn � one person) $ 10,000 PERSONAL &_ADV INJURY $1,000,000 T� GENERAL AGGREGATE _ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS' COMP/OP AGG$2,000,000 $ • LOC F-1 POLICY X ROT A AUTOMOBILE LIABILITY X X 1000198707211 10/01/2 10/01/23 COMBINED SINGLE LIMIT Eaaccidenk _ _ X1,000,000 BODILY INJURY (Per person) $ X ANAUTO Y _ BODILY INJURY (Per accident) $ ALL OWNEDSCHEDULED AUTOS AUTOS R NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE - Per accident $ ___ B UMBRELLALIAB X OCCUR CXP-010622-00 10/01/2 10/01/23 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAR_ _ _ CLAIMS -MADE AGGREGATE _ ----'$� $ 5,000,000 — DED ETENTION$^--- FOLLOW FORM A WORKEFiSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE �Y I N OFFICERWEMBER EXCLUDED? I -• (Mandatory In NH) NIA X 1000004374 10/01/2 10/01/23 X ZQRYLI 0TH• --- - E.L. EACH ACCIDENT - $ 1,000,000 E.L. DISEASE - EA EMPLOYEE — $ 1,000,000 �— E.L. DISEASE - POLICY LIMIT $ 1,000,000 Ifyas, describe under DESCRIPTION OF OPERATIONS below C Po ua.on L 1aity PP'C 7 2 1 Single/Aggregate M M C Professional Liability PPR2471162 10/01/2 10/01/23 Single/Aggregate 5M/10114 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If moro space Is required) RE: Encroachment Permit. Additional. Insured: City of Los Altos Hills. CERTIFICATE HOLDER CANCELLATION 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Grezelle24 66849489 r. 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Las Altos Hills THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 26397 Fremont Road Los Altos, CA 94022 AUTHORIZED REPRESENTATIVE // /W"" USA k 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Grezelle24 66849489 r. 1