HomeMy WebLinkAboutLewis and Tibbits, Inc. 12.27.2024 V2%" T a
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EVIDENCE OF PDATE (MM/DD/YYYY)
INSURANCE ,
12/27/20
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THI
ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
AGENCY PHONE
Ext : 415-402-6607 COMPANY
Woodruff -Sawyer & Co. Hartford Fire Insurance Company
50 California Street, Floor 12 4440 Piedras Drive South, 2nd FI.
San Francisco, CA 94111 San Antonio, TX 78228
FAX E -MA
c No): 415-989-9923 AD RIESS: ramoroso@woodruffsawyer.com
CODE: SUB CODE:
AGENCY
CUSTOMER ID M
INSURED
Lewis and Tibbitts, Inc.
1470 Industrial Avenue
San Jose CA 95112
PROPERTY INFORMATION
LOCATION/DESCRIPTION
LOAN NUMBER
POLICY NUMBER
57UUMBE2262
EFFECTIVE DATE EXPIRATION DATE
CONTINUED UNTIL
01/01/2024 01/01/2025 TERMINATED IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
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
EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS
SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF $UCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COVERAGE / PERILS / FORMS
AMOUNT OF INSURANCE
DEDUCTIBLE
Installation Floater
$3,000,000
$2,500
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All California Operations performed by the Named Insured for the certificate holder
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
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NAME AND ADDRESS
ADDITIONAL INSURED
MORTGAGEE
LENDER'S LOSS PAYABLE LOSS PAYEE
LOAN #
Town of Los Altos Hills
26379 Fremont Rd
AUTHORIZED REPRESENTATIVE
Los Altos Hills, CA 94022
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