Loading...
HomeMy WebLinkAboutCalifornia Surveying and Drafting Supply Inc COI 12.20.24CALISUR-04 KSHIPF �.,. CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDD/YYYY) 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 endorsementlsL PRODUCER "RUGiiau fr; UIOf f 10 HUB International Insurance Services Inc. 4695 MacArthur Court Suite 600 Newport Beach, CA 92660 Shippey .Com Town of Los Altos Hills 26379 Fremont Rd Los Altos Hills, CA 94022 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE olme� @ 1988-2 ACORD CORPORATION. All rights reserved. INSURER A: The Travelers Indemnity Company of Connecticut 25682 INSURED INSURER B: Travelers Property Casualty Company of America 25674 California Surveying And Drafting Supply, Inc. INSURER C: Travelers Casualty & Surety Company of America 31194 4733 Auburn Blvd Sacramento, CA 95841-3601 INSURER D : INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW REVISION NUMBER: HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR PERIOD CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EXCLUSIONS OTHER DOCUMENT WITH RESPECT TO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT WHICH THIS TO ALL AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THE TERMS, INSR ADDL SUBR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP A }( COMMERCIAL GENERAL LIABILITY M DYY bYY LIMITS CLAIMS -MADE X OCCUR EACH OCCURRENCE _ $ 1 000 ,000 , 630-9X535951 1/1/2025 4/1/2025 DAMAGETORENTED PREMISES (Ea occurrence) $ 300,000 MED EXP (Any oneperson) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY ❑ JE LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT 1,000,000 X ANY AUTO 810-A6810678 Ea accident $ 1/1/2025 4/1/2025 OWNED SCHEDULED BODILY INJURY Per person)$ AUTOS ONLY AUTOS HIRED W AUTOS ONLY ATOS BODILY INJURY Per accident $ PROPERTY ONLY DAMAGE per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 X EXCESS LIAB CLAIMS -MADE EX -A7155942 1/1/2025 4/1/2026 AGGREGATE $ 4,000,000 DED RETENTION $ $ C WORKERS COMPENSATION X PER �RH AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? ® N /A UB -A6816702 1/1/2025 4/1/2025 E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) if yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below 1,000,000 _ E.L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: Proof of Insurance. CERTIFICATE 14ril nna Town of Los Altos Hills 26379 Fremont Rd Los Altos Hills, CA 94022 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE olme� @ 1988-2 ACORD CORPORATION. All rights reserved.