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HomeMy WebLinkAboutDarling Family Corporation dba J&M Termite Control Inc 10.07.24M!flxle AC"RV DATE (MMIDDIYYYY) UtHTIRCATE 0- F LIABILITY INSURANCE 10/712024 . . . . . . . . . . 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 AMtNl), EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE$ BELOW'. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWE.EN THE ISSUING INSURER(S), AUTHORIZED I REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDERO �1,1.� .............. . ......... .. .......... ............ 6 .............. ...... ...... ...... .............. ..... ............ ...... ....... . ..... ... It IMPORTANTA It the certificate holder Is on.ADDITIONAL INSURE0., the pollcy(les) must have -ADDITIONAL INSURED provISIOnS 6or 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 ri s to the certificate holder In 1100, of such e M gll ght ndorseen s -, A PRODUCER NAME"r ESP[ S-_ ervice Team Er d ewood Partners Ins., Center FAX Exti: 10. 77 White.Rock Rd. Suite 300 Llc#OB29370 gsp, ESPIServiceTeamCM _,eplebrokers.com :Rancho Cordova CA 95670 Melt) 1ftMft114%_1 0% 01ff^ftn1 Mift-^^Wen A^= KI A k^." INSURER A .- NOVA Iv coo any 42552 INSURED JMTERMI INSURER 0: Preferred EMP ers Insurance Com�parL Darling Falms Corporation DBA 9 lyrINSUR01 C.- J & M Termite Control Ino 159 N Whisman Rd Mountain View CA 94043 INSURER E RAGE$ CERTIFICATE NUMBER; 16727029:9 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR. INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CON DITIONOF ANY CONTRACT OR ,THER CERTIFICATE M" BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE EXCLUSIONS AND CONDITIONS OF SUCIA POLICIES. LIMITS SHOWN MAY HAVE BEEN DEDUCED BY PAID CL IME QYP Y. ,TR TYPE OF INSURANOE INSD WVD. POLICY NUNISER ALID' 11 .1011MID, lyYyy) A X COMMERCIAL 0 ENERAL LIABILITY y POCMLIOOOG04808 3/8120,24 31812026 NN N. .✓m„�Y✓m C OCCUR LAIMS-MADE X Pesticido y I y I POCMLei 000004,808 UMBRELLA LISA B OCCUR EXCESS LI AS CLAIMS -MADE 1:D1:0 �NETENTION,$ 8 WORKEASCOMPEN$ATION AND EMPLOYMAS! LIABILIT Y YIN ANYPROPRI.F.TORIPARTNEPI/EXEOUTIVr-- [::] 0FFI0ER/MEMe,EREX0LU0E0? NIA (Mantlat6r�:IIS NH) PEG300756386 3/8/2024 1 3/6120,25 10/1/2024 1 10/1/2,025 DESCRIPTION OF OPERATIONS 1LOCATIONS / VENICLIES (ACORD 10-1 , Additional Remarks Sohadule,. may be attoohed If more spece Is requAl Work perforrned, by, named insured per wriften contract. uflwxl�-;* LLA" 07:1 " D NAMED ABOVE FOR THE POLICY PERIOD )00,4UMENT WITH RESPECT TO WHIC%Hr THIS HER -IS IS SUBJECT TO ALL THE TERMS, LIMITS EACH, OCCunRENCE $11000,000 8ENT5 P Lo $100,000 MED EXP:(Any one person) �mm$5,000 PERS'ONAL& AQV� INJURY 1�0001000 GENERAL AGGREGATE $2,000,000 PROD OT A OOMP/013 AGO $ 21000,000 ------ 091T. OMBINED I $N i,000,000 BODILY t.NJURY (Per person) BODILY INJURY tPer amident Pi P of� Y DAMAG ;A EACH OCCURRENCE $ AGGREGATE $ x PER OTH- _ff'&T_Q*_re L11R_ El. �ACH A0010 ENT s 1,000,000 El. DISEA'SE - CA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 00 ed) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN Town of Los Altos HillsBuilding Inspection Dept,, ACCORDANCE WITH THE POLICY PROVISIONS. 26379 W Fremont Rd Los Altos 1-111111s, CA 94022 AUTHORIZED REPRESENTATIVE USA 0 1988*2015 ACORD CORPORATION., All rights reserved, ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACRD 6117: 2 " of 1( [X Herbicide CREWL AGGREGATE -LIMIT APPLIF-8 PER: 0j POLICY j"r� LOC ........ ..... .. .. AYMPMWNW>rtWRId.MYYNMA�INVl A AUTO MOSILEUABILITY X ANY AUTO OWNED SCHEDULED AUT.08 ONLY AUTO$ MI .5 X NON - OWNED AUTOS: ONLY L�_J AUTO$ rOILY y I y I POCMLei 000004,808 UMBRELLA LISA B OCCUR EXCESS LI AS CLAIMS -MADE 1:D1:0 �NETENTION,$ 8 WORKEASCOMPEN$ATION AND EMPLOYMAS! LIABILIT Y YIN ANYPROPRI.F.TORIPARTNEPI/EXEOUTIVr-- [::] 0FFI0ER/MEMe,EREX0LU0E0? NIA (Mantlat6r�:IIS NH) PEG300756386 3/8/2024 1 3/6120,25 10/1/2024 1 10/1/2,025 DESCRIPTION OF OPERATIONS 1LOCATIONS / VENICLIES (ACORD 10-1 , Additional Remarks Sohadule,. may be attoohed If more spece Is requAl Work perforrned, by, named insured per wriften contract. uflwxl�-;* LLA" 07:1 " D NAMED ABOVE FOR THE POLICY PERIOD )00,4UMENT WITH RESPECT TO WHIC%Hr THIS HER -IS IS SUBJECT TO ALL THE TERMS, LIMITS EACH, OCCunRENCE $11000,000 8ENT5 P Lo $100,000 MED EXP:(Any one person) �mm$5,000 PERS'ONAL& AQV� INJURY 1�0001000 GENERAL AGGREGATE $2,000,000 PROD OT A OOMP/013 AGO $ 21000,000 ------ 091T. OMBINED I $N i,000,000 BODILY t.NJURY (Per person) BODILY INJURY tPer amident Pi P of� Y DAMAG ;A EACH OCCURRENCE $ AGGREGATE $ x PER OTH- _ff'&T_Q*_re L11R_ El. �ACH A0010 ENT s 1,000,000 El. DISEA'SE - CA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 00 ed) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN Town of Los Altos HillsBuilding Inspection Dept,, ACCORDANCE WITH THE POLICY PROVISIONS. 26379 W Fremont Rd Los Altos 1-111111s, CA 94022 AUTHORIZED REPRESENTATIVE USA 0 1988*2015 ACORD CORPORATION., All rights reserved, ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACRD 6117: 2 " of 1( ri 1 M :ML 1, IL This endorsement modifies insurance provided under the following,, 101TAII 0 1 : 3: 0"'1 It LAI 0, 11 1-IM10-5 I The following is added to SECTION IV' — COMMERCIAL GENERAL LIABILITY CONDITION,$, Paragraph 4: IT-Trrn" Notwithstanding the provisions of sub -paragraphs, a, b, and c of this paregraph 4, with respect to tho Third Party as defined below, 'it I'�S Understood and,, agreed thatin the event of a claim or "suit" a i Ither rising out of the Named InSUred's negligence,: this insurance shall be primary and any o insurance maintained by the additional insured narnedas the Third Party below shall be excess and non-contributory. This endorsement applies only to those third parties required to be named as an Additional Insured 'n as Pma riry and Non -Contributory coverage specified in a written, contract with the Named under this policy, entered into prior to the "loss" or 11,occurrance". The Third Party to whom this endorsement applies is: ANYPERS;ON OR ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT THAT YOU HAVE AGREED TO PRIOR TO A LOSS, All other terms, conditions and exclusions Linder this policy remain unchanged, AGL 01 15 06 09 Includes o 'rl ht material of Insurance Services Office, Inc., with its permission. Page 1 of I INSURED 6117: 3 " of 10 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 �!l q tA_.__:kFfl 0411 Arft r% 1S.'s 1 0 ts c r" 0% UU]TIONAL INSURED now OWNERS, LEO"O""'r—S UR CONTRACTORS � SCHEDULED PERSON OR GRGANIZATION This endorsement modifies insurance provided under the following: SCHEDULE Name Of Ad4iflonal Insured Pers Or rNanizatio!1(�1 .. YF59' 1?'M:FhF'?w^ !Mlin11R1F%MkkN1 .. N1Y.R.1MF Loca-t1on(s) Of Covered OLerations 4111141 ffiltl,1�1111 ANY PERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN Work performed by named insured, CONTRACT THAT YOU HAVE AGREED TO PR[OR TO A LOSS. ,.information required to corgis l ,eute thisc . Shedule,if nOt ,,-shownabove, will bshown in the clarations. : e De A. Section If — Who Is An Insured 'is amended to include as an additional InWred the person(s) or organization(s) shown in the Schedule, but 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 orinissions of those acting on yoUr behalf; in the performance of you:r ongoing operations for the additional insur'ed(s) at the location(s) designated above. 70 "SIT4, M_ 1. The "insurance afforded to such additional insured 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 Mich additional incurod will not be broader than that which you ate required by the contract or agreement to provide for such additional [nsure d. B. With respect to the 'insurance afforded -to these additional insureds, the following additional exclusions applyll This insurance does not apply to "bodily, injury" or "property damage" occurring after: 1. All work, 'including materials,, pails or equipment furnished in connection with such work,, on the project (other then service, maintenance or repai,m) to -be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed,,, or 2. That portion of "your world" out of which the i njury 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, @insurance Sorvices Office, Inc., 2018 INSURED x117:4 " of V C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — 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 agreement; or ZMI�� 2. Available under the insurance; whichever is less. This endorsement shall applicable limits of insurance C Insurance Services Office, Inc., 2018 applicable limits of not increase the INSURED 5117: 5 " of 10 , 0 MMERCIAL GENERAL LIABILITY CG 20 37 12 19JINMi ...... ...... L ffljy�JWI �gral' Py W4 I MUN.M1101 LIMAN M1,0011 Irv, Name MAdditional Insured Person(s) Or Otganization Location And Deserl tion Of Completed Op ,raflons ANY PERSON OR ORGANIZATION WHEN REQUIRED By WRITTEN Work peilormed by named insured. CONTRACT THAT YOU HAVE AGREED TO PRIOR TO A LOSS. J. ..... . ......... Information re tred to corn te this, Schedule if n6t shown above., will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to B. With respect to the insurance afforded to these d, include as an additional 'insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section 11-1 — Limits Of Insurance: with respect to liability for "bodily 111jury" or If coverage provided to the additional insured is "property damage" oaused, in whole or in, part,, by required by a contract or agreement., the most we "your work" at the location designated and will pay on beel f of the additional insured is the described in the Schedule of this endorsement amount of insurence: performed for that additional 'insured and incl udod 1. Required ired by the contract or agreement, or in the "Products -completed operations hazard", 2. Aval lable under the applicable limits of However: insurance; 11. The insurance afforded to such additional whichever i's less,, insured only applies to the extent permitted by This endorsement shall not inorease the law, and applicable limits of insurance, 2,x If covetage 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 are required by the contract or agreement to provide for such additional insured. 0 Insurance Services Office, I no,, 2018 INSURED 5117: 6 " of COMMERCIAL GENERAL LIA131LITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGEPART LIQUOR LIABILITY'COVERAGE PART POLLUTIONLIABILITY COVERAGE PART,DESIGNATED SITES 1POLLUTIDN LIABILITY LIMITED COVERAGE PART DES:[GNATED SITES PRODUCTSMOMPLETED 0PTIONS LI:' ABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS 0 Name Of Person(s) Or Organization (s) H Applies to Any Person or Organization when soch waiver I*$ required by a written Contrad that you have agreed to prior to loss,. In,forma-tion reqit to complete this Schedule. if not shown move, will be shown in the, Declarations, The following is added to Paragrraph 8, Transfer Ot ffigdhts Of 'Recovery Agath$t Others 'To Us of M Section IV - Condifions. a We waive any right of'recoveryagainst-the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part., Such walver by us applies only to the extent that the insured. has waived its right of: recovery spinst m I n(s) prior to loss. This s0oh person(s) or org- Ozatio 1. endorseme ' nt applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 @Insurance Services Office, Inc., 2018 Page 1 of 1 INSURED 5117: 7 * of 10 11 111 111 EM 14 Name of PeIrsonor Organization,, ANYPERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT THAT YOU HAVE AGREED TO PRI:OR TO A LOSS. Any person or organization when such walver Is required by a written contract that you have ag reed to prior to loss, 'if no entry aPpears above, information required to complete this endorsement will be shown in th Declarations as applilcable to this endorsement) Its] The Transfer of Ri, ghts ofRecovery Against Others to Us condition (SECTIONIV — BUSINESS AUP" CONDITIONS) is amended by the addition of the following: We waive the right of recovery we may have agai . nst the person or organization shown in the Sched-ul, above because of payments we make for InjUry or damage arising out of your ongoing operations. Thl :e lgnated'in the $chedule. welver applies anly to the p rson or organiz6bon des" I Page 1 of I INSURED 51'17: 8 * of 1( POLICY NUMBER,* POC -ML -10000048-08 COMMERCIAL AUTO It F i -- I YCIRWt 20-01, 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, entebredinto prior to the "loss" or "occurrence". It is hereby agreed that SECTION 11 X, 114 — Who Is an insured is amended to include as an ins the person or organization, truste-e, estate or Governmental entity- to whom or to which U. are obligated, by virtue of a legally enforceable written contract or by the issuance or existence of a perr itjo provide insurance SLIch as is afforded by this policy, but only with resipect to operations performed by you or on your behalf or to facilities used by you and then only for the limits of liability specified in such contract, but in no event for limits of l,iablility in excess of the applicable limits of liability of this policy; provided that such person, organization trustee, estate or Governmental entity shall be an Insu,red 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 appliesonl. as respects a legally enforceable written y contract or permit with the named insured under this policy and only for lia'bility arising out of or relating to the Named I nsui,,,ed's neg,ligence. It is further under -stood and agreed that irrespective of the number of entities named as insureds under this policy in no event shall the Company's lifnits ofliability exceed, the limits of liability designatedire the Declarations of this policy. All other terms, conditions and exclusions under! the policy are applicable to this, endorsement and remain unchanged. Page 1 of 1 INSURED 5117: 9 "' of 10 red E rs IN N C E C A N Y MATWR� M WilliPill[i We have the right to recover our payments from any0ne liable for an injury covered by this policy. We mill not enforce our right against the person or organization f which, you perform work under written contract that retiresyou to obtain this agreement t0M LIS. The preLry)JILIM 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 pofloy to which it is- atts-ch od effective on the date Issued unless, otherwise stated. (The Information below Is required only when this endortement Is Issued subsequent to preparation of the policy.) Endorsement Effective 10101124 Policy No. PEG300756386 Endorsement NO, 2 Insured DARLING FAMILY CORPORATION DBA J & M TERMITE CONTROL INC. Insurance Company PREFERRED EMPLOYERS INSURANCE COMPANY Countersigned By 5117: 10 ' of' Edgewood Partners Ins. Center 10877 White Rock Road Ste 300 Lic#01329370 Rancho Cordova, CA 9567 ► .»M TOWN OF w 26379 W FREMONT RD LOS ALTOS HILLS, CA a. 5117 5117: 1 " of 10