HomeMy WebLinkAboutSmelly Mel's Plumbing (6)Aa, "RbP CERTIFICATE OF LIABILITY INSURANCE
FDATE(MMIDDIYYYY)
�....► '
07/17/2023
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
Symphony Risk Solutions Insurance Services, Inc.
License No. 0589960
345 California St, Suite 1750
San Francisco CA 94104
CONTACT Lena Stevens
NAME:
PHONE (415) 957-0600 FAx (415) 957-0577
(A/C,
MAIIL Ext : AIC No
ADDRESS: Isteven s@sym phonyrisk.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURERA : James River Insurance Co.
INSURED
INSURER 13: TrIsura Specialty Insurance Company
Smelly Mees Plumbing Inc
INSURER C:
P. O. Box 1666
INSURER D
INSURER E:
EACH OCCURRENCE $ 1,000,000
Pacifica CA 94044
INSURER F:
COVERAGES CERTIFICATE NUMBER: 2022-2023 GL & Xs Master 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 CONTRACTOR 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.
INSR
LTR
TYPE OF INSURANCE
AUUL
INSD
SUIJR
WVD
POLICYNUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MM/DDIYYYY
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
e�
DAMAGE TO RENT D
PREMISES Ea occurrence $ 50,000
CLAIMS -MADE /� OCCUR
MED EXP (Any one person) $ Excluded
PERSONAL&ADV INJURY $ 1,000,000
A
0004621212
12/18/2022
12/18/2023
GEN'LAGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE $ 2,000,000
X POLICY PRO F—] LOC
2,000,000
JECT
PRODUCTS $
OTHER:
Employee Benefits $ 1,000,000
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT $
Ea accident
ANYAUTO
BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident $
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE $ 4,000,000
B
EXCESS LIAB
CLAIMS -MADE
TXS0001765 01
12/18/2022
12/18/2023
AGGREGATE $ 4,000,000
DED I I RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY YIN
STATUTE I I ER
E.L. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVEElNIA
OFFICER/MEMBER EXCLUDED?
E.L,DISEASE-EA EMPLOYEE $
(Mandatory In
If yes, describe under
nd
E.L. DISEASE- POLICY LIMIT $
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
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.
26379 Fremont Road
AUTHORIZED REPRESENTATIVE
Los Altos Hills CA 94022 a aA,# e,d S
V 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD