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HomeMy WebLinkAboutAlta Planning + Design, Inc.Page I of I 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 4719: 3 ` of 31