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HomeMy WebLinkAboutThe F.A. Bartlett Tree Expert Company (2)ACC)R"0 CERTIFICATE OF LIABILITY INSURANCE �....-- DATE(MMIDDIYYYY) 11/13/2023 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 York International Agency, LLC Attn. bartlettcert@yorkintl.com 500 Mamaroneck Avenue CONTACT NAME: PHONE-NoNEx • 914-376-2200 FMC No : 914-376-2891 E-MAIL ADDRESS: lnfo@yorklnti.com Harrison NY 10528 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Travelers Property Casualty Company of America 25674 12/1/2023 INSURED The F.A. Bartlett Tree Expert Company 1290 East Main Street INSURER 13: Travelers Indemnity Company 25658 INSURER C INSURER D: Stamford CT 06902 INSURER E: INSURER F: - - COVERAGES CERTIFICATE NUMBER: 126296623 I 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. INSR LTR I TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR TC2J-GLSA-1005A129-TIL-23 12/1/2023 12/1/2024 EACH OCCURRENCE $2,000,000 DAMAGES(RENTED PREMISES Ea occurrence $ 2,000,000 GEN'L X MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT F—] LOC OTHER: GENERAL AGGREGATE $6,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ A AUTOMOBILE IxANY LIABILITY AUTO OWNED SCHEDULEDBODILY AUTOS ONLY AUTOS X NON -OWNED AUTOS ONLY AUTOS ONLY TC2J-CAP-1005A130-TIL-23 12/1/2023 12/1/2024 COMBINED SINGLE LIMIT $ 3,000,000 Ea accident BODILY INJURY (Per person) $ INJURY Peraccldent $ ( )HIRED PROPERTY DAMAGE Peraccldent $ UMBRELLA LIAB EXCESS LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBEREXCLUDED9 ❑ (Mandatory In NH) Use, describe under DESCRIPTION OF OPERATIONS below NIA UB -7N673715 -23-51-R UB -7N781486 -23-51-K 12/1/202312/1/2024 12/1/2023 I 12/1/2024 I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 I E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Re: All California Operations Certificate holder is named as additional insured as required by written contract. CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 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 ACCORDANCE WITH THE POLICY PROVISIONS. Town of Los Altos Hills 26379 W. Fremont Road Los Altos Hills CA 94022+ AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD