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HomeMy WebLinkAboutTimberline Tree Service, Inc. 07.04.2024TIMBTRE-05 DCHEN " T CCATEOF LIABILITY INSURANCE ERTIFI DATE (MM/DD/YYYY) 74/2024 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(S), 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 # 0757776 HUB International Insurance Services Inc. PO Box 3310 Santa Barbara, CA 93130-3310 CONTACT Nichole Sumners NAME: PHONE 805 204-3234 FAX g05 832-658°1 (AIC, No, Ext): ( ) (A/C, No):(805) E-MAIL SS: nichole.sumners@hubinternational.com INSURERS AFFORDING COVERAGE NA1C # 7/1/2024 INSURER A: Greenwich Insurance Company 22322 EACH OCCURRENCE $ 11000,000 INSURED INSURER B : XL Specialty Insurance Company 37886. INSURER C: Landmark American Insurance Company 33138 Timberline Tree Service, Inc. INSURER D: Insurance Company of the West 27847 350 Lang Road Burlingame, CA 94010 INSURER E: Aspen American Insurance Company 43460 INSURER F: AUTOMOBILE X COVERAGES CERTIFICATE NHMRER-- RFVI.I;ION Nl1MMRFR-- 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 MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X NPC100090805 7/1/2024 7/1/2025 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ MED EXP (Any oneperson) $ 51000 PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ® � F-1 LOC OTHER: GENERAL AGGREGATE $ 21000,000 PRODUCTS - COMP/OP AGG $ 21000'000 $ B AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUUTOS ONLY NBA100091004 7/1/2024 7/1/2025 COMBINED SINGLE LIMIT 11000,000 Ea accident $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ Peer a ciden DAMAGE $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE LHA601735 7/1/2024 7/1/2025 _________1_J000$000 EACH OCCURRENCE $ AGGREGATE $ 11000,000 DED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WVE506639902 7/1/2024 7/1/2025 X STATUTE ER E.L. EACH ACCIDENT $ 1'000'000 E.L. DISEASE - EA EMPLOYEE $ 11000,000 11000,000 E.L. DISEASE - POLICY LIMIT $ E Equipment IMOOWWA24 7/1/2024 7/1/2025 Leased/Rented 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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 20 10 12 19. Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 W.110 Le 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 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD