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AC6R0CERTIFICATE OF LIABILITY INSURANCE
Yy)
A
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 pollcy(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 endorsoment(s).
PRODUCER
Willis Towers Watson Insurance services West, Ina,
0/0 26 Century Blvd
P.O. Box 305191
Willis Towers Watson Certificate Center
FA
PH I IN. No
(AR10,120; 1-877-945-7378 3--888-467-2378
M.certificatesewillia.com
IN 3 COVERAGE
NAIC#
Nashville, TN 372305191 USA
INSURER A: Liberty Mutual Fire Insurance Company
23035
INSURED
Alto, Planning Design, Ina.
711 SE Grand Ave
INSURERD: Liberty Insurance Corporation
42404
INSUREAC: American Guarantee and LiabilitInsurance
y
—
26247
INSURER D: Allied World Surplus Lines Insurance Compa
24319
Portland, OR 97214
E:
_LNSULRrll
LINJUJERF:
COVERAGES
CERTIFICATE NUMBER! W32361535
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.
ILTBN NO -6L 90W PO
TYPE or INSURANCE LIMITS
INSO WV13 POLICYNUMBER (MMMYy) (ANVIRYI
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
f _S71
CLAIMS -MADE l_`_.loccun
DAMAGETORENTED
..fflFN1'9a-ftP U01Er.Q_11mL_
l'..000' 000
A
MCD EXP Any 0110 e22!1_
25,000
PERSONAL & ADV INJURY
2,000,000
TB2-641-446161-063
22/31/2023
12/31/2024
GEN'L AGGREGATE LIMIT APPLIES PER:
GENrnAL ACGREGATE
4,000,000
POLIOY LOO
PRODUCTS- COMP/OP ACG
$ 4,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
01N D5 GLE IMI
51000,000
ANY AUTO
BODILY INJURY (Perpersoti)
a
OWNED SCHEDULED
AUTOS ONLY AUTOS
AS7-641-446161-043
12/31/2023
12/31/2024
BODILY INJURY (Per accident)
P pAMAGE
P
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
,OPERTY
UMBRELLA LIAS < OCCUR
EACH OCCURRENCE
$ 10,000,000
AGGREOATE
10,000,000
EXCESS LIAR CLAIMS -MADE
AUC 8344746-00
12/31/2023
12/31/2024
DED RETENTION$
$
WORKERS COMPENSATION
8TA UTEAND ER
EMPLOYERS'LIABILITY Y/N
_C.L. EACH ACCIDENT
—
$ 1,000,000
-------------
ANYPROPRIFTONtPARTNEf,IIEXECUTIVE
NIA
WC7-64rl-446161-063
12/3112023
12,/31/2024
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE
t_
$ 1,000,000
11111`10IR/MIMUCREXCLUDID
It es describe under
.D nIPTION OF OPERATIONakI2�___
E.L. DISEASE - POLICY LIMIT
$ .000, _000
0
Professional Liab final Pollution
0313-8987
07/01/2023
07/01./2024
Each Claim Limit
08,000,000
Policy Aggregate
$5,000,000
DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space Is required)
PROJECT #00-203.8-145 - LOS ALTOS HILLS CA PATHWAY FZZ STUDY. EXHIBIT OF INSURANCE.
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 LOU ALTOS HILLS AUTHORIZED REPRESENTATIVE
26379 FREMONT ROAD
LOS ALTOS, CA 94022
ACORD 25 (2016/03)
@ 1988-2016 ACORD CORPORATION, All riahts
The ACORD name and logo are registered marks of ACORD
9P, 10: 25224199 BATCH: 3267472
4719: 2 * 01`3 11
Page 1 of 1
CERTIFICATE mF LIABILITY
y4 fLOTqINSURANCE DATE(MM(DDtYVYY)
01/03/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE GOES 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(% AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder 1s an ACtgIITIONAL INStaFtECI, the pollcy(i��j mu>�t h ue AL]C�ITICN�I INSURED prtxvlsions �r Itid 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 rlahts to the certificate holder In lieu of such endorsement(s).
Willis Tovors Watson Insurance Services West, Inc.
0/0 26 Century Blvd
P.O. Box $06191
Nashville, TN 372305191 USA
INSURED
Alta Planning + Design, Inc.
711 SM grand Ave
Portland, OR 97214
COVERAGES
C15ATIFIGA'TE
Willis Towers Watson Certificate Center
1-87'1-995-7378 cAIC.No1: 1-858-467-2378
Liberty Mutual Fire Insurance Company 23035
Liberty Insurance Corporation 42404
American Guarantee and Liability Insurance 26247
Allied World Surplus Livres Insurance Compa 24319
NUMBER=
THIS IS TQ CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INUICATED, 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 81-IOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
PpO,I�YfxP: ^p1�I.11YC1(P:"'_..__.
LTR TYPEOPINSURANCE POLICY UMBER M �ODIV Y�Y MM1DDIVYYY LIMNS
_
COMMERCIAL GENERAL LIABILITY
�j��
CLAlMS•MAD'E 1.".J OCCUR
EACHOCCURRENCE
$ 2,000,000
D TE
P{1� 15�SIC-��,�n'reace�.__,
1,000,000
A
MEd EXP An ono person
!& 25,000
Y j
TA2-641^446161-053
12/31/2023
12/31/2024
PERSONAL&ADV INJURY
$ 2,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY JGCr LOC
GENERAL AGGREGATE _
PRODUCTS- COMP/OP AGO
b 4,00 0, 000
$ _ __.. ...._4r 000, 000
GEN'L
/
+
$
OTH LR:
I I
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
�(�u tagCicidill._
$ 5,000,000
BODILY INJURY (Par person)
$
X
ANY AUTO
S
_
OWNED SCHEDULED
AUTOS ONLY AUTOS
Hil' D NON•OWNEO
AU CS ONLY _ AUTOS ONLY
A$7-641-446161-043
12/31/2023
12/31/202.4
BODILY INJURY (Per aocldeitt)
$
ppROPEWTY DAMAGE
Ca-
$
C
X
UMBRELLA LIAR x I OCCUR
i
CACH OCCURRENCE
$ 10,000,000
AGGREGATE
10,000,000
EXCUSSLIAO CLAIMS -MADE
AUC 8344746-00
12/31/2023
12/31/2024
fJtED RETENTIONS
H
WORKERS COMPENSATION
AND EMPLOYERS! LIABILITY( N
ANYPROPIIIL•'TOR/PARTNER/EXLCUTIVE YIN
(MandatoMEMNEREXCIUDED7
IManddtcry in NH)
NIA
WC7-641-446161-063
12/31/2023
�
12/31/2024
.Xi SIATUT 111-H,
C.L GACW ACCIDENT
_ _---
G.L.DISEASE EA EMPLOYEE
$ 1, 000 000
-- .-----
1,000,000
!�
11 908 describe under
E'3GRIP„ ION F OPERATIONS below
E.L. DISEASE • POLICY LIMIT
1, 000, DOp
0
Profeasional Liab incl Pollution
I
0913-5987
07/01/2023
07/01./2024
Each Claim Limit
$5,000,000
I
Policy Aggregate
$5,000,000
DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES (ACORD 1.01, Additional Romsrks Schedule, may he attached If more space Is required)
PRO,7BCT #00-2016-391 - LOS ALTOS, CA, PATHWAY INVENTORY AND ASSESSMENT, TOWN OF LOS ALTOS HILLS I9 AN ADDITIONAL
INSURED WITH RESPECT$ TO GENERAL LIABILITY, IS REQUIRED BY WRXT'Tl4N CONTRACT
TOWN or LOS ALTOS HILL$
26379 FASKONT ROAD
LOS ALTOS, CA 94022
SHOULD ANY OF'THE, ABOVE DESCRIBED POLICIES BE CANCELLED 13EFORE
THE EXPIRATION DATE THER150F, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE.
0 IOUB•2016 ACURD 00HPORATION. An rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
sn Tn: 25224199 BATOR, 3267472
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