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Home My WebLink AboutTimberline Tree Service, Inc. 07.10.2023r i a/ r— r) TIMBTRE-05 DCHEN ACOR"' t� 0 V L- LJ Annn CERTIFICATE OF LIABILITY INSURANCE FDATE (MMIDD/YYY`/) 7/10/2023 THIS CERTIFICATE IS ATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFIGE AFFORDED BY THE POLICIES AMEND, XAEND OR ALTER THE ATE DOES NOT AFFIRMAWu DOES NNEGATIOTLY BELOW. THIS CONSTITUTE CONTRACT BETWEENTHESSUING INSURER(S), AUTHORIZED REPRESENTATI'ir,J�1�1�R,-AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 # 0757776 HUB International Insurance Services Inc. PO Box 3310 Santa Barbara, CA 931303310 CONTACT Nichole Sumners NAME: PHO,NNo, Ext): (805) 204-3234 jvc, No):(805) 832-6581 E-MAIL ADDRESS: nichole.sumners@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # 7/1/2023 INSURER A: Greenwich Insurance Company 22322 EACH OCCURRENCE $ 1,000,000 INSURED INSURER B:XL Specialty Insurance Company 37885 INSURER C: Insurance Company of the West 27847 .1 Timberline Tree Service, Inc. �_. INSURER D: 350 Lang Road Burlingame, CA 94010 INSURERE: INSURER F : B COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 LIR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POMMIDDNYYYI LICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X NPC100090804 7/1/2023 7/1/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 PREM SES E rrence $ MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY 1'000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X PE E] LOC OTHER: GENERAL AGGREGATE $ 2'000'000 PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY NBA100091004 7/1/2023 7/1/2024 COMBINED SINGLE LIMIT 1,000,000 Ea accident $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per. accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE NEC600618403 7/112023 7/1/2024 EACH OCCURRENCE $ 1'000'000 AGGREGATE $ 1'000,000 DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A WVE506639901 7/1/2023 7/1/2024 X STATUTE OERH 1,000,000 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ 1,000,000 1,000,000 E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Town of Los Altos Hills, its elective and appointed officers, employees, and volunteers are included as Additional Insureds under the General Liability policy, additional insured coverage applies when required by written contract per the attached form #CG 2010 1219. 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 ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD