HomeMy WebLinkAboutResidential Heating and Air Conditioning Inc dba Residential Energy Pro's 06.26.2023C"RVQ CERTIFICATE,OF LIABILITY INSURANCEDATE(MM/DD/YYYY)
6/26/2023
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(ies) must 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 ofsuch'endorsement`(s)�
PRODUCER
C NTACT
NAME: Carlyn Eaton
o Ext): (408) 2188"6262 X No . (408)29e-7635
.
Leavitt Pacific Insurance Brokers, In.c.-PHONE
License ##OD79674
EMAIL
E-MAIL s: carlyn--eaton@leavitt. cons
INSURERS AFFORDING COVERAGE NAIC #
1570 The Alameda, Suite 101
INSURER A: Scottsdale Insurance CoMany 41297
San Jose CA 95126
INSURED
INSURER B: Cypress Insurance Company 10855
INSURER C : Ohio Security Insurance Company 24082
RESIDENTIAL, HEATING .AND AIR CONDITIONING INC
INSURER D:
dba RESIDENTIAL ENERGY PRO'S
INSURER E:
65 Cristich Lane
INSURER F:
Campbell CA 95008
COVERAGES CERTIFICATE NUMBER:23-24 Master *USE*. 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 CONTRACTOR 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
SUBR
V
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 11 000, 000
A
CLAIMS-MADEa OCCUR
DAMAGE TO RENTED 1.00 , 000
PREMISES Ea occurrence $
MED EXP (Any one person) $ excluded
BCS2000672
6/30/2023
6/30/2024
PERSONAL & ADV INJURY $ i, 000, 000
GENERAL AGGREGATE $ 21000,000
GEN'LAGGREGATE LIMIT APPLIES PER;
POLICY JE 0 LOC
PRODUCTS - COMP/OPAGG $ 21 000, 000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
Ea accident
BODILY INJURY (Per person) $
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident) $
HIREDAUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE $ 21000,000
,�,
-X—
-- - - - - - - -- -
ExCESS LIAR
- -
-C LAIM S=MAD E-
- --
--
-- - =---- ----- - - -
--- ------
; --- —
--- - — - --r----
AGGREGATE $ 2 0 0 0J Q 0 0
bEb =11TENTION $ 0
$�
XLS2002299
6/30/2023
6/30/2024
B
WORKERS COMPENSATION
AND EMPLOYERS` LIABILITYYIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatary In NH)
If yes, describe under
N 1 A
REWC430711
1/1/2023
1./1/2024
X 1PER OT H-
STATUTE ER
E,L, EACH ACCIDENT $ 1, 000, 000
E,L, DISEASE - EA EMPLOYEE $ 14001000
DESCRIPTION OF OPERATIONS below
E,L, DISEASE - POLICY LIMIT$ 1 000 000
C
Rented/Leased Egtipment
BKS66402687
6/30/2023
6/30/2024
Limit 25,000
Ded 500
DIESCRIPTION OF OPERATIONS / LOCATIONS I' IEHICL E -s (AC ORI) 401, Additlional Reinarlds 'Se.hedule, niay'be attaiched if ni ire space Is requfresd)
Evidence of Coverage.
CERTIFICATE HOLDER CANCELLATION
ACORD 25 (2014/01)
INS025 (201401)
1900-2014 ACORN CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of LOS Altos Hills
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Building Planning Dept
ACCORDANCE WITH THE POLICY PROVISIONS.
26379 Fremont Road
AUTHORIZED REPRESENTATIVE
Loa Altos Hills, CA 94022
Fred Stafford/CHDUEN
l r
ACORD 25 (2014/01)
INS025 (201401)
1900-2014 ACORN CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD