Loading...
HomeMy WebLinkAboutBell Plumbing of San Mateo Inc. 03.15.25 V2,, •� CERTIFICATE OF LIABILITY INSURANCE DATE 03/M15/2026 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 endorsement(s). R DUCER F FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES NAME: CLIENT CONTACT CENTERG INCLUDING PRIMARY SOURCE INSURANCE AGENCY(A/c, No, Ex11:888-333-4949 (A/C, No): 507-446-4664 121 E. PARK SQUARE E-MAIL OWATONNA, MN 55060 ADDRESS: CLIENTCONTACTrEMTFn nGGnlr.w e nAI INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 BELL PLUMBING OF SAN MATED INC INSURER B: CERTAIN UNDERWRITERS AT LLOYDS LONDON 15792 1180 SAN CARLOS AVE BOX 704 INSURER c: SAN CARLOS, CA 94070-2418 INSURER D: INSURER E: 'OVERAGES CERTIEICflTP unhelaco, 711ZINSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORCTHE 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 TYPE OF INSURANCE ADDL INSR SUBR WVtl POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY - LIMITS X COMMERCIAL GENERAL LIABILITY '- CLAIMS -MADE EACH OCCURRENCE $1,000,000 OCCUR AMAGE TO gqENTED PREMISES Ea accurrenca) $100,000 AY N 9829156 03/17/2024 03/17/2025 OEN'L AGGREGA�T-ELILIMIT APPLIES PER: POLICY X PRO- "• w ❑ LOC OTHER: pERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000000 PRODUCTS & COMP/OP ACC $2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (En accident) $1,000,000 BODILY INJURY (Per Person) AOWNED JANYAUTO CHEDULED AUTOS ONLY SAUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLYPeOA N N 9829156 03/17/2024 03/17/2025 BODILY INJURY (Per Accident) Rid -DAMAGE X UMBRELLALIAS X OCCUR A EXCESS LIAB CLAIMS -MADE N N 9829157 03/17/2024 03/17/2025 EACH OCCURRENCE $4,000,000 DED RETENTION AGGREGATE $4,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERI EXECUTIVE _ PER STATUTE OTHER E.L EACH ACCIDENT OFFICERIMEMBER EXCLUDED? L (Mandatary In NH) N/A E.L DISEASE -EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE • POLICY LIMIT CONTRACTORS POLLUTION LIABILITY Y Y CPL01016001 01/08/2025 01/08/2026 EACH LIMIT $1000,000 B AGGREGATE 00,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES iACORD 101, Additional Remarks Schedule, may be attached If more space Is required) SEE ATTACHED PAGE CERTIFICATE HOLDER TOWN OF LOS ALTOS HILLS 753 26379 W FREMONT RD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED LOS ALTOS HILLS, CA 94022-2624 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of AGENCY NAMEDIN&URED BELL PLUMBING OF SAN MATEO INC FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES 1180 SAN CARLOS AVE BOX 704 INCLUDING PRIMARY SOURCE INSURANCE AGENCY SAN CARLOS, CA 94070-2418 POLICY NUMBER SEE CERTIFICATE # 75.3 CARRIER NAIC CODE EFFECTIVE DATE: SEE CERTIFICATE # 75.3 SEE CERTIFICATE # 75.3 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE POLICY COVERAGE AS OF 0 ADDITIONAL INSURED INCLUDES: THE TOWN AND ITS OFFICERS, AGENTS, INDEPENDENT CONTRACTORS, AND EMPLOYEES. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - BLANKET ENDORSEMENT FOR CONTRACTORS POLLUTION LIABILITY. INSURANCE PROVIDED BY THE CONTRACTORS POLLUTION LIABILITY IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE. CONTRACTORS POLLUTION LIABILITY COVERAGE CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS OF THE WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US. GENERAL LIABILITY COVERAGE CONTAINS CG 25 03 DESIGNATED CONSTRUCTION GENERAL AGGREGATE LIMIT ENDORSEMENT APPLICABLE TO EACH CONSTRUCTION PROJECT AS REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED - BLANKET This endorsement, effective 12:01 a.m., 1/8/2025 forms a part of Policy No. CPL01016001 issued by Certain Underwriters at Lloyd's, London. THIS ENDORSEMENT CHANGES THE POLICY-- PLEASE READ IT CAREFULLY In consideration of the premium charged, the insured and the Company agree to the following Policy change(s): It is hereby understood and agreed that Section Ill, WHO IS AN INSURED of the above referenced Policy is amended to include the following person(s) or entity(ies): Any person(s) or entity(ies) for whom you are performing operations when you and such Person(s) or entity(ies) have agreed in writing in a contract or agreement that such person(s) or entity(ies) be added as an additional insured on your policy; and any other person(s) or entity(ies) you are required to add as an additional insured under such contract or agreernent. Such written contract or written agreement must have been executed and in effect prior to a LOSSto which this insurance applies. But solely as respects their liability arising Out of YOUR WORK performed during the policy period to which this insurance applies. The coverage provided to the additional insured(s) listed above does not apply to a CLAIM, DAMAGESor liability arising out of the sale negligence or acts, errors or omissions of the entity(les) listed above ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED CPL AIBLKT 07 24 ,/ P Page 1 of 1 PRIMARY AND NON-CONTRI6UTORY INSURANCE This endorsement, effective 12:01 a.m., 1/8/21',' °arms a part of Policy No. CPIA1016001 issued by Certain Underwriters at Lloyd's, London THIS ENDORSEMENT CHANGES THE POLICY — PLEASE READ IT CAREFULLY In consideration of the premium charged, the insured and the Company agree to the following Policy change(s): Section VII. CONDITIONS of the above policy is amended by the following addition to Paragraph M. OTHER INSURANCE: This policy shall be considered primary and non-contributing to any valid and collectible insurance available to third patties in respect to work performed for them by you under any written contractual agreement which requires that you provide primary insurance ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED CPL PNC 06 22 ?;> U C P M Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement, effective 12:01 a.m., 1/8/2025 forms a part of Policy No. CPL01016001 issued by Certain Underwriters at Lloyd's, London THIS ENDORSEMENT CHANGES THE POLICY — PLEASE READ IT CAREFULLY In consideration of the premium charged, the insured and the Company agree to the following Policy change(s): Schedule Name of Person(s) or Organization(s): Blanket as required by written contract and/ar agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section VII. CONDITIONS of the above policy is amended by the following addition to Paragraph Q. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US: We waive any right of recovery against the person(,,) or organization(s) shown in the above Schedule because of Payments we make for injury or darnage arising out of your ongoing operations or YOUR WORK done under a written contract with that person or organization and included in the PRODUCTS -COMPETED OPERATIONS HAZARD. This waiver applies only to the person(s) or organization(s) shown in the above Schedule. ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED CPL WOS22 10 23 9, Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERSLESSEES •' CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: I. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. CG 20 33 12 19 B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. © Insurance Services Office, Inc., 2018 Policy Number: 9829156 Page 1 of 2 Transaction Effective Date: 03/17/2024 2. 'Bodily injury" or "property damage" occurring after: a. All work, including materials, par r equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 33 12 19 Policy Number: 9829156 Transaction Effective Date: 03/17/2024 POLICY NUMBER: 9829156 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s)- Each construction project as required by written contract or written agreement. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by damages or under Coverage C for medical occurrences under Section I - Coverage A, and expenses shall reduce the Designated for all medical expenses caused by accidents Construction Project General Aggregate Limit under Section I - Coverage C, which can be for that designated construction project. Such attributed only to ongoing operations at a single payments shall not reduce the General designated construction project shown in the Aggregate Limit shown in the Declarations nor Schedule above: shall they reduce any other Designated 1. A separate Designated Construction Project Construction Project General Aggregate Limit General Aggregate Limit applies to each for any other designated construction project designated construction project, and that limit shown in the Schedule above. is equal to the amount of the General 4. The limits shown in the Declarations for Each Aggregate Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, except General Aggregate Limit shown in the damages because of "bodily injury" or Declarations, such limits will be subject to the "property damage" included in the "products- applicable Designated Construction Project completed operations hazard", and for medical General Aggregate Limit. expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". CG 25 03 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 B. For all sums which the insured becomes legally C. obligated to pay as damages caused by "occurrences" under Section I - Coverage . yid for all medical expenses caused by accidents under Section I - Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical D. expenses shall reduce the amount available under the General Aggregate Limit or the Products -completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 03 05 09