HomeMy WebLinkAboutKillroy Pest Control Inc 10.04.2022P5260028002
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UtKNIT L..I'°lr INSURANCE10/p4/Qr22
THIS CEKnFI SATE IS ISSUED AS A MATTER.OF_ INFORMATION ONLY AND CO NFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFIOATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE E AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DM NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR, PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORT, NT. If the certificate holder, Is an ADDITIONAL INSURED, the pollc�r(i�S) must have ADDITIONAL INSURED provisions Or be endorsed..
If SUBROGATION IS WAIVED subject to the terms and conditions of thePoIIcy, :certaIn policies may.r�qulInre oerl �r��rinent. statementw
this certificate does not confer .rights to the certificate.. holder in lieu f such. endorsement(s),
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PRODUCER 41'd SCA LIC QB2.. 1"871. 220_00 CONTACT
NAIVE.- Raquel DeGroat
Edgew'ood Partners insurance Center (EPIC) PHONE FAX
CSacr;�xne��,..o Branch � Branch ID .155593 � �9 � : 4�:���5��4�7a TWC Na c
E-MAIL
JPO BOX 211.0 ADDRESS: rae e1. diagroat@epicbtokers.com
INSURERS AFFORDING COVERAGE NAIL
Rancho Cordova,, CA 9.5 7 0 INSURER. A . NOVA. $ CO 42 5 .2
INSURED � INSURER 8: TEL"M40L0GY TSS CO INC 4237+6
illroy Peat Control Inc
+C b Sensitive Solutions
INSURER C:
1175 Dell AVO INSURER 0:
INSURER Et
,Campb!ll1,CA 95008,
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COVER CERTIFICATE NUMBER" 66838443 REVISION NUMBERM
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION CSP ANY CONTRACT OR. OTHER.* DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE I ISSUER OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE. POLICIES DESCRIBED HEREIN IS SUBJECT `)"0 ALL THE TERMS,
EXCLUSIONS AND -CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS;
INSR APDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE ` POLICY I+LUMBER NIINI�i�CYYYY MMIi��I/YYY�f LIMIT
A COM�MERCIALGENERAL LIABILITY POC L1000012707 10/01/22 10/01/23 EACHOCCURRRENCE � 1, 001000
CLAIMS -MADE � OCCUR DAMA��� DENTED - 10Or 000
PREMISES Ea occurrence $
Pe t�.e�ide/ MED EXP (Any one. person] 51000
Herb�,oid PERSONAL &ADI/ INJURY $ 1a 000, 000
OENILA GRECATELIMITAPPLIE.S PER: GENEF�ALAGORI:OATE 3,'000, 000
P }Lfl0Y ECT LOC PRODUCTS -' COMP/.OP AGO $ ^2, 000, 000
OTHER.: $
AUTOM6 Q0IL,ELIAIBILITY POCMLIOOOO1 707 10/01/22 10/01/2
COM NE SINGLE LIMIT
Ea accIderit 110010,000
X ANY AUTO BODILY INJURY (Per person)
OWNED SCHEDULED BODILY INJURY (Por accident)
AUTOS ONLY AUTOS
x HIRED PION -OWNED PR�?RERTY DAMAGE
AU"i O a ONLY AUTOS ONLY Per accident
X UNMPRELLALIAB x. 'OC 1000002807 10/01/22` 10/01/23
OCCUR EACH OCCURRENCE 1, Orb, 000
- -- - - - - - - -- - -- 1 °-, O0 f.-000-
CLAIMS
---- AOREATE
DE, RETENTION .$ � !�, 000 $
WORKERS COMPENSATION PER OOH
E YIN '�WC4171341 10/01/22 10/01/23 STATUTE
AND ENII�I.OYEFt�' LIABILITY ER
ANYPROPIRIETOR/PARTNER/E)CECUTIVE E.I... EACH ACCIDENT $ 1N 000,E 000
OFFICEIMMEMBEREXCLUDED? El
N % A
(Mandatory In NH) E.L. DISEASE ^ EA EMPLOYEE $ 1.- 000, 000
If yea, d"cribe under
DE IF 0ON OF OPERATIONS below ENL, DISEASE M POLICY LIMIT $ 1,000 000
�N �.
DESCRIPTION OF OPERATIONS ! LOCATIONS I VEHICLES (ACORD 10'1, Additional Remarks Schedule, may be attached If more apace Is required)
e: Work performed.by Named insured as per written contract. Additional Insured: The Town of Los Altos Halls, ltwe
elective a c appoi ted Officers, Employees, ani, volunteers
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of :Geos Altus Hills THE EXPIRATION DATE THEREOF,- NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THS POLICY PROVISIONS,
26379 Fregiont Rei
AUTHORIZED REPRESENTATIVE
Los Altos Hills, CA 94022
USS
01008-2015 ACORD CORPORATION, ,All rights reserved.
ACORD 25 (2010103) The ACORD name and logo are reglatered marks Of AGGRO
RDeg"roat
6'6838443