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HomeMy WebLinkAboutDarling Family Corporation dba J&M Termite Control Inc 03.13.25DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION -ONLY —RNLI - 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 all endorsement. A statement on this certificate does not Confer rights to the certificate holder In Ilou of such endorsoment(s). EdNQr­ ESPI Service Team gewood Partners Ins, Center PHONE 10877 White Rock Rd, Suite 300 1 1 0. lxl)' Lic#01329370 -MAIL Rancho Cordova CA 95670 ADDIE S: e - rviceTeam INSURED DarlinQmily Corporation DBA J & M ermite Control, Inc. 159 N VVhisman Rd Mountain View CA 94043 R: I 1*11S 16 10 QEHTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY RrzouIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED On MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE Tr-nms, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE IVSD10139 POLICYNumogn (A ILDT NAVY (29, LIMITS I (M KI'My I D X COMMERCIAL GENERAL LIABILITY -U-1 Y Y LIP0007OPK00054700 3/3/20251 - - 3/8/2026 EACHOCCURRENCE $1,000,000 F CLAIMS -MADE OCCUR DAMAGE TO RENTED X Pesticide[ MED EXP Any one porson) $5,00, HerbicidePEr 1SONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: E] 11 GENE11ALAGGREGATE $2,000,000 GENT. POLICY2:8i LOO PRODUCTS -COMP/OP AGO $2,200,000 $ oTH6R: C AUTOMOBILE LIABILITY y Y 994241405 31812025 902025 BIje 11.0-LELIMIT M A m I $1,000,000 ANY AUTO BODILY INJuny (pot, person) $ — OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per acol0ent) -P -56—p $ - HIRED NON -OWNED AUTOS ONLY AUTOS ONLY F -I g Y P AMA 0 E a [T $ $ UMBRELLA LIAR OCCUR EACH 11 OCCURRENCE EXCESS LIAO CLAIMS -MADE AGGREGATE DED Rr-TENTION $ _Y A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Pr -G300756386 10/,1/2024 Y/N ANYFiRol3n)ETOn/PAnTNER/EXC,CUTIVE OFFICEWMEMBEREXCLUDED? El N/A E,L, EACH ACCIDENT W $1,000,000 (Mandatory In NH) IC qua, describo under E.L. DISEASE - CA EMPLOYEE 1,000,000 I E.L, DISEASE - POLICY LIMIT $1,000,000 D IIIPT12N OF OPEDATIQNS Oel w I I DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (ACORD 100, Additional Remarks Schedule, may be attached If more space to required) Work performed by Named Insured per written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Los Altos Hills Building Inspection Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 26379 W Fremont Rd Los Altos Hills CA 94022 AUTHORIZED REPRESENTATIVE USA 0 1988.2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 322: 2 ' of 11 POLICY NUMBER: LIP0007OPK000547-00 COMMERCIAL GENERAL LIABILITY S GL 0070 00050 12 22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (INCLUDING COMPLETED OPERATIONS) AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The insurance provided by this endorsement shall not serve to increase our limits of insurance as described in SECTION III -LIMITS OF INSURANCE, A. SECTION 11 — 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 all additional insured only with respect to liability for: "Bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for that additional insured; and 2. "bodily injury", "property damage" included in the "products.completed operations hazard" with respect to "your work" performed for that additional insured . B. Only with respect to the insurance afforded to any additional insureds by this endorsement, paragraph 4. Other Insurance, subparagraph a. Primary Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended to read as follows: This insurance shall be considered priimry if any other valid and collectible insurance is available to any person or organization included as an additional insured under this endorsement and such other insurance shall be excess of and will not contribute'to the insurance afforded by this endorsement, C. Only with respect to the insurance afforded 'to any additional insureds by this endorsement, paragraph 8. Transfer Of Rights of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS Is replaced by the following: We will waive any right of recovery we may have against any person or organization added as all additional insured under the terms of this endorsement against whom You have agreed to waive such right of recovery in a written contract or agreement because of payments we make for "bodily injury" or "property damage" arising out of your ongoing operations or "your work" included within the products completed operations hazard done tinder a contract or agreement with that person or organization," ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. 8 GL 0070 00050 12 22 Page I of I 322: 3 ' EDGEWOOD PARTNERS PO BOX 5668 CONCORD, CA 94524 Darling Family Corporation AM Termite Control, Inc. 159 N WHISMAN RD MOUNTAIN VIEW, CA 94043 non"OP9REM11F 000YERCIAZ Underwritten by: United Financial Cas Co March 4, 2025 Policy Period: Mai, 8, 2025 - Sep 8, 2025 Page 1 of 4 Customer Phone number: 1.650-969.5556 Thank you for contacting me about your auto insurance needs, I am pleased to provide you with a quote from United Financial Cas Co, a company that offers competitive rates and many outstanding services, Progressive gives you access to your policy information through progressiveagent,corn, your customized website, Claims service is available 24 hours a day, 7 days a week. Policy information Business: Pest Control Quote for 6 month policy period Total policy premium... .......... .................. ................ 111.11-1-1 ....... $21,571,92 . . . 1 1 1 Payment plans Make payments by mall or at progressiveagent,corn, Each Payment includes a $6.00 installment fee, Payment plan Total prerniurn Initial payment Payments i Payment $21 X71 9 $-2"1','9-7-1','9"2 ....... , .................None ... * .........................................2 Payments, ..... 60.0°/a... bo -w -f ........... ............... '$"1-1','0''6-4* 9-2, .........................1 payment010, To purchase insurance Please review the information on your quote for accuracy; incomplete and inaccurate information could affect your rate, These rates are subject to verification of information, If You have any questions or Would like to purchase a Progressive policy, please call me at 1-800-234-6363. Your coverage will begin once your initial payment has been received. Thanks again for the opportunity to work with you, Rated drivers The insured declares that no persons other than those listed in this application are expected to operate, even occasionally, the vehicle(s) described in this application. Date of Additional Name Birth Points information �i6 ................................................ ........... i1 . )� , M . 6 ................................. ................................... .... .... 9,!N ...... ... I ............... bij I1i. i .. ... I ... .... I. 1 1. 1 ..... I"......, ... ... ... Jessica Darling 981 0 Jeanine Marques 0 . 1 . /3 . 0/1 9 . 64 1-- 0 ............................................................ ........ Robert Sneil 1 2 3 Ojl 9 86 0 Lou'ls171 11/10/1971 0 ��'n'ie"S''llrnm—o'n's' * ... .......... * ................................ 0''1'/'2*'9'/'1"9"8' *9 ..... '0' .................. * ............... ...................... * ..... ....... Outline of coverage Your insurance policy and any policy endorsements contain a full explanation of your coverage, The policy limits shown for a vehicle may not be combined with the limits for the same coverage on another vehicle. Contif 322: 4 * of i. Darling Family Corporation Page of Description ,,,~,___,,_,__,,,_,~_,,hmm,,__`~___,~.,____.,,___,.n�uu�+_,,_..pmmmr 2016 JEEP WRANGLER UNLIMITED Actual Cash Value (plus $2,000.0OPermanently Attached Equip) Liability NN: IC4M0yVDGXGK2@9729Garaging Zip Code: 94O43Radius: 3UDmiles $1�4,45 _Bod�|n��and .Pmpady.Damage L�bhY$1 .cnmb�wd.�no�.km�_,_ Wn�ome�Undehno�ed.M�oh�$l� O0O�00.combh�d.in g�|im�_____._,__________3�13S PmneAv0a�eQe ---'Motorist.`----.----.----------.--~-------.~----------------' ..''�.'..»����''''''�'�'''''''' 1G31 --'— � ' � ---'�^^'~—^''^'''�-- � �B73 $41 — Medical ........... --.... —............... $5,0O0each person 312 ----.......................................................................................................... Comprehensive �'2'`'�'6�'�' .... .... 858 __uoAun �hedu|.e__.__._,,____UmitW.|.iab.iNo�ode6ud|.b|e_.`_._` ....... ...................... ............... Collision 3,045 See Auto Coverage Schedule Limit ofliability less deductible '..' ...... '''—'''.''.'''..'��''.''.''''.'''''''.'.''`.''.'.'.''.'..'..''.'.`'.`.''.'..~.'..'.^.''.''.''.'..'�'���''�'�~..-.'.'...'`''''.'.—..'.'.''—' Subtotal policy'premium $21,814.00 �....'...,.............��...-....'...........�.—..........�......^.......................`...............................................'......—, _ _�_ 0an��VYak�rafSubmoa#cmFee 75.O0 .�.^�'.."..................��'......�..'.�....�..�.�...��.�...,�....~ 0an�1Addid~on�|—|nau�.�d-_�� - .~ ��..�.^....'......' . ..�.......* ....'. — �....�......�....�...,— 75.00 ..�.....�..�.--,..........'.-.....'............—..—..................................��.�..�..�..�,......�.�.....-...'.'—....�..�.��.�.��..��..�— [o|�omiaVmhide Assessment Fee ... ]. 7,92 ''y''�'''''''''... io"'''''-'''''''''~' Iii, ``'''''''^~................................. *'''''—'''.'''''''�'''''^�'^''''�''��''''''''^''�''�''�'''�''''''''' NN: 111GIPOS05J1481111815 Garaging Zip Code: @4O43 Radius: 3O0Miles Auto coverage schedule 1. �� m� 2016 JEEP WRANGLER UNLIMITED Actual Cash Value (plus $2,000.0OPermanently Attached Equip) NN: IC4M0yVDGXGK2@9729Garaging Zip Code: 94O43Radius: 3UDmiles Personal use:Y Body type: Sport Utility Vehicle Liability Mod ���m�p� Premium P�OniWn ..''�.'..»����''''''�'�'''''''' 1G31 --'— � ' � ---'�^^'~—^''^'''�-- � �B73 $41 Co� Camp Collision Collision rnymca|Damage uo�tib|e Premium o�um�|e Premium Auto Total Premium u ^'U8'''O~'.''`'�''^ '''''''''''�'''' l,OU`'''`'-^''''�'31''1 —`-'''''�''''''''''- ''1, ''''''''''''''.''''.'''.'''''''''''''''`''''..''''.'''' ��1O7''� �'2'`'�'6�'�' l 2019 CHEVROLE[SIKVERADO Stated Amount *$37.QO0(including Permanently Attached Equip) V|kk2GB2CREG1*1 22029#Garaging Zip[bde:Q4O43 Radius: 300 miles Personal use: N Body type: Pickup Truck Liability WNW Mod Pay PI-O?��;�m��y��mv Premium x ___.,__.___...._.._~..____^_____._______~.__.___ f�D13--'_�]QQ�_..$ZB. mmue�P �� CollisionCollisionCollision r�n|ca|uannaQe mm^ P�num Deductible Premium Auto Total P[e[AiUM ''1,''OO^'O^'''''''''''�'`'D5 '.'^'''~''''''�''1'OQO '^'~'''''''''''�'''''23�'^''''.'~'''^'''''''''''''^''''''''''''.''''''''.'''''^'''''''~''''.'''''''''' � ��'^''���^^" ]. 2018 CHEVROLET BOLT EV Stated Amount: °$18,000(including Permanently Attached Equip) NN: 111GIPOS05J1481111815 Garaging Zip Code: @4O43 Radius: 3O0Miles Personal use: N Body type: Car 'Passenger Liability Liability uMUIM Mod Pay �Premium y����,---.---�^'. — . CollisionCollisionDamage n�lwv �vmmm Deductible Premium Premium --~—''.—^-----^--^---'--~''~~--'----^^—.--'--^—^ �1,OOO �84 �1�OO i2' 7-... Darling Family Corporation Page 3 of 4 4, 2013 CHEVROLET SILVERADO Actual Cash Value (plus $2,000.00 Permanently Attached Equip) VIN: 3GCPKTE27DG241947 Garaging Zip Code: 94043 Radius: 300 miles Personal use: N Body type: Pickup Truck Liability Liability WNW Mad Pay Premium Premium Premium Premiumfl 6-2,0, ............. $,2-9,9, .......... -$,,2,7- * ............................... , ................. ..................................... ................. Comp Comp Collision collision Physical Damage Pecludible......... Premium P,remiuT. Au,to,Total Premium .... .De.d,uct,ib.le ... ..... ....... $ . I . 10 . 00 .1 S . 6 . 8 $ 1,0 , 00 $2 . 18 ..$2 . 232 5. 2022 CHEVROLET BOLT EUV Stated Amount: * $22,000 (including Permanently Attached Equip) VIN: I GI FZ6041\1141120943 Garaging Zip Code: 94043 Radius: 300 miles Personal use: N Body type: Car - Passenger Liability Liability UM11JIM Mad 'Pay PreffliUrn PremiumPremium Premium$1 5.60 ...... * ......$373. .............. $,3,6, ................................................................ , ..................................................... romp corrip Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium$1,000 ,-, *........ ... $,1,0-6 ....... , ....... $)"'o-60, .......... $-4-2-7- ............................................................ ............. ........ $,2-,,5,0-2,, 6, 2013 TOYOTA SCION XB Actual Cash Value (plus $2,000.00 Permanently Attached Equip) VIN: JTLZE4FE7DJ031897 Garaging Zip Code: 94043 Radius: 300 miles Personal use: N Body type; Carr Passenger Liability Liabil.ity IJM/UIM Med Pay P.COIMM�. Premium Pr,e.miu,m,. Premium ..... $1660,,.,...,...$373•.,.,. 1660 $373 $37 coml) COMP Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium ....................................... .................................. 'i 1 1,660, ........ * ... $,7-3 ......... ...... $6,"o-60, .... 1-2-5-9 .............. $,2,,,,4-0,2,, 7. 2016 CHEVROLET SILVERADO Stated Amount: $22,000 (including Permanently Attached Equip) VIN: IGBZCUEGXGZ232578 Garaging Zip Code: 94043 Radius: 300 miles Personal use: N Body type: Pickup Truck Liability Liability LJM/ulm Mod Pay Premium PremiurnPremium Premium $1745.,.",......$299.........., 7-4-5 ............. $,2-9,9, ............... $,2,8, ..................................... , ..................................................... .............. Comp comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium 1 .................................... ............... ................ . $1,00011 i 060 1. $73 1 . $ . 1 1 0 . 00 $171 1 1 1 I 1 2 . ;3122 $ 8, 2022 AUDI SQ8 Stated Amount: $70,000 (including Permanently Attached Equip) VIN: WAICWBF11ND030531 Garaging Zip Code: 94043 Radius, 300 miles Personal use: Y Body type: Sport Utility Vehicle Liability Liability WARM Mod Pay Premium Premium Premium Premium$ 14 79 $373 . , ............. $40 ................................ ......... ................ Comp comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium , ,...........6,1.......,......'' -.......9-5-.................. ...i1"660i1$I"o66 ............................................,...........*,­­,,,,­ $3,038 Continue 322: 6 ' of I Darling Family Corporation Page 4 of 4 9, 2011 HONDA ELEMENT Actual Cash Value (Plus $2,000.00 Permanently Attached Equip) VIN: 5J6Yfl2H720L000604 Garaging Zip Code: 94043 Radius: 300 miles Personal use: N Body type: Sport Utility Vehicle Liability WNW Med Pay Liability Premium Premiurn Premium . m 3 ........ ....... ......................... I ....... ........ Premium f1l 4-6-7— ......... $6-7, - $3 cornp camp collision Collision Physical Damage Deductible PremiLIM Deductible Premium Auto Total Premium $1,000 $ . 6 . 1,„„ .. ......... $1,000....... ,. 1000.......... $ . 11 . 90 ......... ..................................... ....„$..21Z8 .$.2128 *A vehicle's stated amount should indicate its current retail value, including any special or permanently attached equipment. In the event of a total loss, the rnaxiML1rn amount payable is the lesser of the Stated Amount or Actual Cash Value, less deductible. Be sure to check stated amount at every renewal in order to receive the best value from your Progressive Commercial Auto Policy. Premium discount Policy ................................ ................... .............. .......... Multi -Product Important notice For your protection California law requires the following to appeal- on this form, Any person who knowingly 1) resents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison, rorm QUOTE CA (12/23) %3 1 322: 7 Preferred Erqpj - --s f -k -S -1-M V-9-6- —C 5-9-0 i i -i WC 99 07 00 WORKERS COMPENSATION AND EMPLOYERS, LIABILITY INSURANCE POLICY � ON We have the right to recover our payments from anyone liable for an injury covered by this policy. Wewill not enforce our right against the person or organization for which you perform work under a written contract that requires You to obtain this agreement from LIS. The premium charge for this endorsement shall be 3% of the Worker's Compensation premium, subject to a minimum charge of $500,00 This endorsement changes the policy to which it is attached effective on the date issued unless otherwise stated. (The Information below is required only when this endorsement is Issued subsequent to preparation of the policy.) Endorsement Effective 10/01124 Policy No. PEG300756386 Endorsement No. 2 Insured DARLING FAMILY CORPORATION DBA J & M TERMITE CONTROL INC. Insurance Company PREFERRED EMPLOYERS INSURANCE COMPANY Countersigned By 322: 8 *