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-_�� -
.~ ��..�.^....'......'
. ..�.......*
....'.
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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 *