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HomeMy WebLinkAboutGladwell Government Services Inc 10.22.24GI_Annov.nl GranN7A1 1=7 CERTIFICATE OF LIABILITY INSURANCE D 10(MM/ '10/22!22024024 Y) 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($), 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 # 0757776CONTACT Jordan Bartleson HUB International Insurance Services Inc. �, , PO Box 5346 Riverside, CA 92517 alto°,No,Ext: (951 779.8575 FAX ) AIG, No :(951 231-2565 EMAIL ADDREss: Jordan.Bartleson@hubinternational.com INSURERS AFFORDING COVERAGE NAIL # LIMITS INSURERA:Hartford Underwriters insurance Company 30104 INSURED INSURER 13: Hartford Accident and Indemnity Company_22357 INSURER C: Hartford Casualty Insurance Company 29424 Gladwell Governmental Services, Inc. P.O. Box 62 Lake Arrowhead, CA 92352 INSURER D: United States Liability Insurance 25895 INSURER E: 72SBABF4UK2 INSURER F : 10131/2025 DAMMOESL a occiErence $ 2,000,000 COVERAGES (^FRTIFI('ATF MIIMRFR• DcAnernnt nnrancrcD. 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM DD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR X 72SBABF4UK2 10/31/2024 10131/2025 DAMMOESL a occiErence $ 2,000,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE 4,000,000 POLICY X JECT LOC 4,000,000 PRODUCTS - COMP/OP AGG $ $ OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident X ANY AUTO 72UECPT0490 10/31/2024 10/31/2025 BODILY INJURY Per erson $ OWNED SCHEDULED BODILY INJURY Per accident $ ALTOS ONLY AUTO5W Pe�a,cidentDAMAGE AUTOS ONLY 2U ONLY UMBRELLAH OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION XPER OTH- STAT TE ER AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 72WECAV7EWT 2/1/2024 2/1/2025 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBE EXCLUDED' FN NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below D Professional Liab. SP 1020956N 10/31/2024 10/31/2025 Per Occurrence 1,000,000 D Professional Liab. SP 1020955N 10/31/2024 10/31/2025 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Town of Los Altos Hills is Additional Insured with regard to the General Liability policy when required by written contract per the attached endorsement form SL3042 10118. Town of Los Altos Hills Attn: Deborah Padovan, City Clerk 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 / �eA AL;UKIJ "Z5 (ZUIU/U3) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INSURED: Gladwell Governmental Services, Inc. POLICY NUMBER: 72SBABF4UK2 EFFECTIVE DATES: 10/31/2024 to 10/31/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE 4 HARTFORD This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply. A. The following is added to Section C. WHO IS AN INSURED: Designated Person Or Organization a. The person(s) or organization(s) shown in the Declarations as Additional Insured — Designated Person Or Organization is also an additional insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In the performance of your ongoing operations; or (2) In connection with your premises owned by or rented to you. b. If coverage provided to these additional insureds is required by a written contract or written agreement, or when required by a written permit issued by a state or governmental agency or subdivision or political subdivision, the insurance afforded to these additional insureds will not be broader than that which you are required by the contract, agreement, or permit to provide for these additional insureds. c. The insurance afforded to these additional insureds only applies to the extent permitted by law. B. With respect to the insurance afforded such additional insured(s) by this endorsement, the following additional exclusion is added to Section B. EXCLUSIONS: This insurance does not apply to "bodily injury" or "property damage" included within the "products -completed operations hazard". Form SL 30 42 10 18 © 2018, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) Page 1 of 1