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Home My WebLink AboutDarling Family Corporation dba J&M Termite Control Inc 10.07.24 V2DATE (MM1D0/YY'YY) C"IE"'TIRCATE OF'LIABILITY INSURANCE A 101712024 - --------- 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 TERA HE COVGE AFFODED HE RBY TPOLICIES T BELOW. HIS CER . TIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATI VEORPRODUCERs AND THE CERTIFICATE HOLDERO Iit the, certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. MPORTANTO If SUBROGATION IS WAIVED,, subl.eet to the terms and conditions of theIi y, certain policies may require an endorsement. A -statemerit on tI is certificate does not confer rl&s to the certificate holder In Ile.0 Of such enrdorsement(s)* TAC'r' ES PRODUC911 gigPI, Service- Team E,drgeWood Partners Ins. Center -AX PHONE A 1^ KI Ir 10877 Mite Rock Rd. Suite 300 1 I 9,44AIL Lic#032.9370 _16541-sa:, ESI I8erAqeTe8Mr.@ ►icbrokers.com Rancho Cordova CA 95670 INSURED Darling Family Corporation DBA J & M Termite Control Ino 15:9 N WhIsman Rd Mountain 'view ,CA 94043 INSURS11 A: NOVA Casqa.I�Co JMTERMI INSURER B - Preferred Employe INSURER 0: INSURER 0: COVERAGEERTIFICATE NUMBER-* 2:145076240 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LI STED BELOW HAVE BEEN ISSUED TO THE INSUR INDICATED, NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOrRD,ED BY THE POLICIES DESCRIBE EXCLUSIONS AND CONDITIONS OF SUGH POLI CIE$. L.IMITr3 SHOWN MAY HAVE B.EN REDUCED BY PAID CL I1' Wa P gwyy YJ PLICUMPa�1.unr yy') TYP!-0F INSURANCE &AL A X COMMERCIAL OENERAL LIABIUTY y y POCIAL1000004808, 3181.2024r 3/8/425 F—v-1 CLAIMS -MADE [,,n_j OCCUR X' X GENILAGGREGATE LIMIT APPLIES PER: POLICY E LOO A AUTOMOSILE,ANALITY Y Y POW L.1 000004808 3/8/2024 31812025 ANY AUTO OWN D SCHEDULED AUTO$ ONLY AVTOS .HIRED X NON -OWNED AUTO$ ONLY J AUTOS ONLY UMBRELLA LEAS ISI EXCESS UA __T 1 IDED ETENTI0N_j,,,, WORKERSCOMPENSAnON PEG3007%'386 10/' 1/20,24 10/112025 AND,EMPLOYEAS! LIABILITY Y/N ANYPI;OPRI,ETOR/PA.RTNER-/`EXECU'TIVE OFF1 CERIM EMS ER �XOLUDED? Lj N/A (Mohdatory-In 1NH) II' yes., des.-orlbe under DESCRIPTION OF OPERATIONS I LOCATIONS I VENT LE (ACORD I I01, Add(tional Remarks Schedule., may be attached Itmore space Is requil Work performed by named insured per written contract, 11140111,411[ol pang 42552 Insurance Company 10900 I 171-IFff -.1 ...... . .. . ".1), NAMED ABOVE FOR THE POLICY PERIOD �OCQMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL. THE TERMS, UMITS EACH OCCURRE NOE $1,000,000 DA A Td'REK mn MEDEXP (Any -one porso'n) PERSONAL &,ADV INJURY $1 a0 lh 0 -GENERAL AG GREGATE$2,00 ' 0,000 'PRODUCTS .,COMP,/OP AGO $23,000,000 fJ EOMBINED SINGLE LIMIT$1,000,0,00 BODILY INJURY (Per person) $ BODILY INJURY (Per awident) $ AGE IT, $ EACH OCCURRENCE $ AGGREGATE $ x- - -------- E.L. EACH A0010ENT $ 100, 000 El.DISEASS-Eft EMPLOYEE $1 7000000 El, QISEASiE - POLICY Wi'r 00 ad) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIPATION DATE THEREOF, NOTICE WILL BE DELIVER -ED IN Town of Los Altos Hills Building Inspection Dept, ACCORDANCE WITH THE POLICY PROVISIONS. 26379 W Fremont Rd Los Altos Hills CA 94022 AUTHORIZED REPRESENTATIVE USA OR Rm 01988-2 . 016 ,CORD CORPORATION. A164- kti'reserved'. ,CORD 2.5 (201.6/03) The ACORD name and logo are registered marksof ACORD 6116: 2 11, of 1( This endorsement modifies inSUrance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM The following is,added to SECTIOrN IV COMMERCIAL GENERAL LIABILITY CONDITION$, Paragraph 4., Section- IV,,, Commercial General Liability Conditions M 4. Other Insurance, V Notwithstanding the provisions of sub -paragraphs a, b, and c of this paragraph 41 with respect t the Third Party as, defined below, it 'is understood and agreed that in the event iof a claim or "sui arising out of the Named Insured's negligence, this insuranroe shall be primary and any oth insurance maintained by the additional insured narned' as the Third Party below shallbe excess an, non-contrilbutory. This endorsement applies only to those third parties required to be named as an Additional Insured as Primary and N,on-Csontributory coverage specified: in a written contract with the Named Insured Under this policy, entered into prior to the "loss" or "accurrence". The Third Party to who this endorsement applies is: ANYPERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT THAT YOU HAVE AGREED TO PRIOR TO A LOSS, All other teras, conditions and exclusions under this policy remain unchanged, AGL 01 15 06 09 Includes copyright material of Insurance Services Office, Inc. I J with its permission. Page 1 of 1 INSURED 5116: 3 " of 10 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 all A D6 DAITIO`,NAL INSURED � OWNERS, LESSEES OFq,- CONTRACTORS � SCHEDULLED PERSON OR GRGANIZATION This endorsement modif[es insurance provided under the following: SCHEDME Name Of Add.ilttona! Insured Pers .s .0 Or is 0manizat, ion( cCovered rat Loaton() is Of ANY PERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN Work performed by named insured. CONTRACT THAT YOB 'HAVE AGREED TO PRIOR TO A LOSS. Inn ormati,on r��,ired to com lete this Sche_ if h, ot shown ab.ove,L.W1II be sh,qw,n in the Declarations, A. Section I'll — Who Is An Insured 'is amended to include as an additional insured the person(s) or organi'zatlio. n(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injiury" caused, in whole or in part, by: 11,. Your acts or omissions, or 2. The acts or ornissions of those acting on yoUr behalf; ;in the!performance of your ongoing operations for th--e addonal lnsurIed(s) at the location(s) designated above. Howeverr: 1. The insurance, afforded to such additional incur only, applies to the extent permitted by law, and 2, If coverage provided to the additional insured is required by a contract or agreement,, the insurance afforded to such additional insured will not be broader than that which you ate required by the contract or agreement to provide for such additional insured. 13. '.With respect to the 'insurance afforded to these additional insureds, the following additional exclusions apply: i This nsurance does, not apply to "bodily in'ury" r Ifo, ' J property, damage," occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work,, on the project (other than service, maintenance or repairs) to be performed by or on behaff of the additiona,l insured(s) at the location of the covered operations has been completed; or 2. That Portion of. "'Your word"` 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 sarne proje.0t. 0 Insurance Services Office, Inc., 2018 INSURED 5116: 4 " of fl, %or With respect to the insurance afforded to these additional insureds, the following is added to Section 111111 — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreernent; or 2. Avellable under the insurance; whichever is less. This endorsement shall applicable limits of Jnsuran ce @Insurance Services Office, Inc., 2018 applicable limits of not increase th e CG 20 10 12 19 INSURED 5116: 5 ;' of 10 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 4111 111 1 Jill "MoUT MIL This endorsement modifies insurance provided under the following: MOM Name Ot'Ad,difional Insured Person(s) or Organizatiog(Is . ....... . Location And reset .floe Ot Corn eted 0. erations . . ..... ANY PERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN Work performed by named insured. CONTRACT THAT YOU HAVE AGREED TO PRIOR TO A LOSS, *� 0 W Information re !reI m �,e this Schedu ifn shown abov III be shown in the Declaration.,s A, Section 11 — Who Is,An Insured 'is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following Is added to o " t rg-anize ion(s) shown in the Schedule, but only I I S 11 Section III — Limits Of lln� urance, w ith respect to liability for "bodily 'injury," or If coverage provided to the additiI onal insured 'is "property damage" caused, in whole or in part, by required,by a contract or agreement, the most we " at the location designated and "your work"" will �ay on behalf of the insure additional inred is the p described in the Schedule of this endorsement amount of insurance: performed for that -add ' itional insured and includoid 1, Required by the contract or agreement; or in, the "pro ducts-calfed operations hazard". 2. Available under the applicable limits of However: insurance; 1. The insurance afforded to such additional whichever is less. - i I nsured only applies to the extent permitited by This endorsement shall not increase the law; and applicable limits ofins urance. 2, If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to Such additional insured will not be broader than that which you ate required by the contract or agreement to provide for such additional insured, 0 Insurenoe Services Offico, Inc., 2018 INSURED 5116: 6 " of This endorsement modifies in$Urance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRON[C DATA UA1311 LITYCOVE RAGE PART LIQUOR LIABILITY GOVERAGE PART POL.LUTION LIABILITY COVERAGE PART DESIGNATED SITES PULUTI,ON LIABILITY LIMITED COVERAGE PART DES1,GNATED SITES PROWICTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILR0AD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TA,NKS Name Of Person(s) Or Organization(s); W 11 A lies to, Any Person or Qrganization -when such waiver 'is required by a written Contract thpapt you have agreed to, prior to Ims, r�,qu red to cqmplete this Sch-edUle, if not shown above,, will be shown in the Declarations. The, fol[owing 'is added to: Paragraph 8,, Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditionsp We waive any right of recovery against the person(s) or organization(s) shown 'in the Schedule above, because of payments we make under this Coverage Part: Such waiver by us applies only to the extent that the insured has- waived its right of recovery, against such person(s) or organization(s) prior to loss, This endorsement applies only to the person(s) or organiZatiorn(s) shown, in the Schedule above, CG 24 04 121 0 Insurance Services Office, Inc., 2018 Page I of I MURED 5116: 7 * of 10 ; � 1� I J I � 1 01 ill I 't flAl-E -� This endorsement modifies insurance provided under the following: ;WSINESS AUTO COVERAGE FORM -56USINESS AUTO PHYSICAL DAMAGE COVERAGE'FORM Name of Perswor Organization, ANY PERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT THAT YOU HAVE AGREED TO PRIOR TO A LOSS. Any person or org.anization when such walver Is required bya written contract that you have agreed to prior to lossm (if no entry appears above, 'Information required to complete. this endorsement will be shown in th... Declarations as aPplicable to this endorsem6nt.) TheTransfer of Rights of Recovery Against 0thers to Us condition (SECTIONIV — BUSINESS AUTO CONDITIONS)is amended by the addition ofthe following: We waive the right of recovery we may have against the person or organization s, hown In the Schedule above because of pay arisng out of your ongoing operatio n.s,. This , ments we make for injury or damage i , waiver applies A0A00190508 o: o, the plerson or organlz�tion designated in the Schedule. Page 1 of 1 INSURED 5116: 8 " of POLICY NUMBER: POC -ML -10000048-08 COMMERCIAL AUTO This endorsement modifies insurance provided under the following: Any, person or organization required, to be named as an Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence". ,M111 Ili] It is hereby agreed that SECTION, I] A. 1. — Who Is an Insured is amended to include as an insured the person or organ izati on , trustee, estate or Governmental entity to whom or to which you are obligated, by virtue of a legally enforceable written contract or by the issuance, or existence of a permit, to provide insurance SUChas is afforded by this policy,, but only with respect to operations performed by you or on your behalfor to facilities used by you and then only for the limits, of liability, speciffod in such contract, but in no event for I'Jrnits HaWlity, in excess oftlir e applicable 'lir its of liability of this policy" provided that such person, organization trustee, estate or, Governmental entity shall be an insured, only with respect to such "loss or "accident" taking place after such written contract,has been executed or such permit has been issued. Coverage under this endOrsement applies only as respects a legally enforceable written contract or permit with the named insured under this policy and only for liability arisin-g out, of or relating to the Named 'Insure °s noglig enoe. It 'is further understood and agreed that irrespective of the number of entities named as insureds under this policy in no event shall the Company's limits of liability exceed the r limitsof liability designated in the Declarations of this policy. All other terms, conditions and exclusion s- under -the policy are applicable to this endorsement and remain unchanged. Page 1 f 1 INSURED 5116: 9 " of 10 A P.referred E,. rs I We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization f6r which you perform work under a written contract that requ-res you to obtain this agreement tom us. The premium charge for this endorsement shelf be 3% of the Worker's Compensation premium, subject to a I rninimumcharge of $5,00,00 This andorsemen t changes the policy to which it is attached ffective on the date issued unless otherwise stated. (The Inform afion below Is required only when this endorsement Is Issued, subsequent to preparation of the policy.) Endorsement Effective 10/01/24 . Policy No. PEG30075e3,86 Endorsement NO. 2 Insured DARLING FAMILY CORPORATION DBA J & M TERMITE CONTROL INC. Insurance Company PREFERRED EMPLOYERS INSURANCE COMPANY Countersigned By 5116: 14 * of, Edcgewood Partners Ins. Center 10877White Rock Road Ste 300 Lic#OB29370 Rancho Cordova, CA 95670 »0 INSPECTION111 1111111111 TOWN OF LOS ALTOS HILLS BUILDING 26379 W FREMONT RD LOS ALTOS HILLS, CA 94022-2624 5116: 1 " of 10