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Home My WebLink AboutDenis Brothers Construction Inc 09.23.24I om:Andrea Michael FaxID:IOA Date:9/23/2024 6:20:55 PM Paoe:2 of 2 DENIBRO-01 MICHAELA DATE (MMIDDIYYYY) �.,..,.- CERTIFICATE OF LIABILITY INSURANCE 9/23/2024 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 endorsement(s), PRODUCER License # OE67768 ,MT coNNracy Mary Ann Cooksey N. IOA Insurance Services PHONE FAX 3875 Hopyard Road (AIC, No, Ext : (925) 660-3517 50010 (A/C, No):(925) 416-7669 Suite 200 E• AIL A"teEs,$_,MaryAnn.Cooksey@IOaUSa:COm Pleasanton, CA 94588 ........................... ............ .................... ............ I•NSURER(S)_AFFORpING.COVC RAGS_ NAIC k INSURED Denis Brothers Construction, Inc, P.O. BOX 390699 Mt View, CA 94039 F: Security National Insurance Com .................................................................................................. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSU INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRII EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ISR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP .. ...... .NSD VD , POLICY NUMBER M, • D�IYY,,,, MMIDD YYY _.........................................................1,. M(� . A X COMMERCIAL GENERAL LIABILITY ;..;.� U CLAIMS -MADE X OCCUR 0004849713 6/17/2024 6/17/2025 L AGGREGATE LIMIT APPLIES PER: POLICY u jE CO� El LOC AUTOMOBILE LIABILITY Z DOCUMENT WITH RESPECT TO WHICH THIS ED HEREIN IS SUBJECT TO ALL THE TERMS, ......................_..................... LIMITS X ANY AUTO ......................... .. EACN OCCURRENCE $ 1,000,000 SPP181313401 5/3012024 513012025 ,,,,,,,, OWNED SCHEDULED ,PERSONAL &ADV INJURY 1,000,000 GENE RAL.AGGREGATE,,,,,,,,,,,• „S 2.000,000 PRODUCTS,-COMPIOP,AGG,,,,S AUTOS ONLY JAUTOS PER PROJIECT CAP 51000,000 COMBINED SINGLE LIMIT (Ea, 3cc'I.d@t1,1)......................................5 11000,000 BODILY INJURY (Par person)S �D X A % ONLY X ATOS ONLY 60DII Y INJURY (Por accident), „S PROPERTY DAMAGE Peraccident) ................................... $ Comp/ Coll ded1,000 ........... ......_.................................. ...,..............,,. �.................... EACH,OCCURRENCE 1,000,000 AGGREGATE 1,000,000 ............................................... XTH- ...................... UMBRELLA LIAB X OCCUR E. L, EAC ACCIDENT £ 1 000 000 E L, DISEASE - EA EMPLOYEES 1,000,000 E.L, DISEASE„• NOLICY I .MIT X EXCESS LIAB CLAIMS -MADE .............................................................................. ed) 01002450171 6/17/2024 6/17/2025 DEDX RETENTION $0 ................_....................,...............,......................,....._,........,....,..•.................................. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE fY / N 7600021866241 101112024 10/1/2025 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) If ves, describe under DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is requl Town of Los Altos Hills Building Department 26379 Fremont Road REVISION NUMRFR! _................_...................... ZED NAMED ABOVE FOR THE POLICY PERIOD Z DOCUMENT WITH RESPECT TO WHICH THIS ED HEREIN IS SUBJECT TO ALL THE TERMS, ......................_..................... LIMITS ......................... .. EACN OCCURRENCE $ 1,000,000 DAMAGE TO RENTED P EM.lSE.B.CIaa.�.�rren�e. 50,000 � MED E_XP_(Any,onm,per,onJ,,, .... . S 5,000 ,PERSONAL &ADV INJURY 1,000,000 GENE RAL.AGGREGATE,,,,,,,,,,,• „S 2.000,000 PRODUCTS,-COMPIOP,AGG,,,,S 2000,000 PER PROJIECT CAP 51000,000 COMBINED SINGLE LIMIT (Ea, 3cc'I.d@t1,1)......................................5 11000,000 BODILY INJURY (Par person)S 60DII Y INJURY (Por accident), „S PROPERTY DAMAGE Peraccident) ................................... $ Comp/ Coll ded1,000 ........... ......_.................................. ...,..............,,. �.................... EACH,OCCURRENCE 1,000,000 AGGREGATE 1,000,000 ............................................... XTH- E. L, EAC ACCIDENT £ 1 000 000 E L, DISEASE - EA EMPLOYEES 1,000,000 E.L, DISEASE„• NOLICY I .MIT ..$ 1,000,000 .............................................................................. ed) 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 � P-�-Kd� _._... ACORD 25 (2016/03) ©1988.2015 ACORD CORPORATION, All rights reserved.