Loading...
HomeMy WebLinkAboutFuture Air, Inc. 01.16.25CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) F1/16/2025 TYPE OF INSURANCE INSD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION.ONLYAND 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must 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 Leavitt Pacific Insurance Brokers, Inc. License ##OD79674 NAME: CONTACT Carlyn Eaton PHONE (408) 286-6262 FAX(408)298-7635 &MAIL° E AIC No: carl ADDRESS;yri-eatOn@leavitt.COm 1570 The Alameda, Suite 101 San Jose CA 95126 INSURERS AFFORDING COVERAGE NAIC # INSURERA;Travelers Indemnity Company 25666 INSURED Future Air, Inc, 270 Kinney Drive Philip Madera San Jose CA 95112 C[1V1=QA(:FC /+CBTICIAA'TI_ \11IX�IYe�Ih.AC nP .._ _,_ INSURER B: Travelers Property CasualtyCompany of 25674 INSURERC;Forte ra Specialty Insurance 16823 INSURER D:Ironshore, Specialty Insurance Com an 25445 INSURER E: INSURER F: _ 4-v1u1V 1Y IYVIYI�GR. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSRADDL LTR TYPE OF INSURANCE INSD SUBR I POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY A CLAIMS -MADE 51OCCUR EACH OCCURRENCE $ 1,000,000 DA ACETO RI: FTMD PREMISES Ea occurrence $ 300,000 4T22C01E097548TCT25 2/1/2025 2/1/2026 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� 7 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS •COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS AUTOS X BA3L2678472528G 2 1/2025 / 2/1/2026 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ - - $ B UMBRELLALIAB X EXCESS LIAB X OCCUR CLAIMS -MADE EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 B DED _ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If a, describe under N /A CUP2J157959202S UB1J061687202SG 2/1/2025 2/1/2025 2/1/2026 2/1/2026 $ X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L.DISEASE. EA EMPLOYEE $ 1 000 000 , E.L. DISEASE • POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below ofessional Liab Claims -Made C100 005702 2/1/2025 2/1/2026 PerClalm/Aggregat° 1,000,000 IDP.11ution Liability I1EL1UW00159904 5/30/2024 5/30/2025 10,000 Dad 2,000,000 ,DESCRIPTION OFOPERArIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) ('pI7TICICATC Unl nen Town of Los Altos Hills 26379 Fremont Road Los Altos Hills CA 94022 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 Fred Stafford/YVVALD�¢.� {/ ^VVLV LO t4V 1-+/U 1) 1 ne AGUKu name and logo are registered marks of ACORD INS025 (201401)