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Home My WebLink AboutAsbestos Management Group of California, Inc. 03.31.2026A COR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/31/2026 •,� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. T CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIC BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR12 REPRESENTATIVE OR PRODUCER, 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 CONTNAME: WS Certificates Woodruff -Sawyer & Co. PHONE 50 California Street, Floor 12 A/C No Ext): /c No): San Francisco CA 94111 E-MAIL ADDRESS: certificates@woodruffsawyer.com INSURER(S) AFFORDING COVERAGE NAIC # License#: 0329598 INSURERA: State Compensation Insurance Fund of CA 35076 INSURED ASBEMAN-01 INSURER B: Westchester Surplus Lines Insurance Company 10172 Asbestos Management Group of California, Inc INSURER c :ACE American Insurance Company 3438 Helen St. 22667 Oakland CA 94608 INSURER D: HDI Specialty Insurance Company 16131 INSURER E: r()lRAr._q f'=0TIC1f%ATC K11 MOC0. 4nOOC4 AlfnO INSURER F \/A.A�■ \.■ SON- -- 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 EFF MM DDY POLICY EXP MM DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY G755305OA001 3/29/2026 3/29/2027 EACH OCCURRENCE $1,000,000 CLAIMS -MADE [XI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY JEC LOC $ OTHER: C AUTOMOBILE LIABILITY H0889176AO01 3/29/2026 3/29/2027 COMBINED.SINGLE LIMIT $_1'-000'000 Ea accident) X ANY AUTO _ BODILY INJURY (Per person) $ OWNED X SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED NON -OWNED AUTOS ONLY - AUTOS ONLY PROPERTY DAMAGE - Per accident $ $ D UMBRELLA LIAB X ----- OCCUR EPXD7305100S 3/29/2026 3/29/2027 EACH OCCURRENCE $ 5,000,k00_ -------�( EXCESS LIAB- ------ - -- ----------._. - CLAIMS -MADE - - ----_ _. - --- _ AGGREGATE $ 5,000.,000 r_tDED RETENTION $ $ ,q WORKERS COMPENSATION 927324626 3/29/2026 3/29/2027 X STATUTE H AND EMPLOYERS'LIABILITY Y / N EER EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE[7E.L. OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 11-000,000 DESCRIPTION OF OPERATIONS below B Pollution Liability & Professional Liability G755305OA001 3/29/2026 3/29/2027 EACH OCC/AGGREGATE $1 M/$2M EACH OCC/AGGREGATE $1 M/$1 M DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: AMG Job No. 24-7335 1 Heritage House Upgrade I Town Project No. 410224 - CDBG Project No. LAH-25-01 The Town of Los Altos Hills, and the officers, agents, and employees of the Town of Los Altos Hill, individually and collectively are included as Additional Insureds on the General Liability when required by written contract language. This insurance is Primary & Non -Contributory. 30 Day Notice of Cancellation applies per the attached endorsement. v`I-% 1 11 Mor% I I- revL-uGrt UAN1;1-_L1 _A 11[)N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Los Altos Hills ACCORDANCE WITH THE POLICY PROVISIONS. 26379 Fremont Road Los Altos Hills CA 94022 AUTHORIZED REPRESENTATIVE ' . I 0;'� owiJ.4-011 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: G755305OA001 4Z COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, J 11 off AMR Po' W 0 1p� 10 L Wj i1. This endorsement modifies insurance provided under the following&. COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART Alwr# A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or 11property damage" caused, in whole or in part, by 11your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section 111111 — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:, 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 @ Insurance Services Office, Inc., 2012 Page 1 of 1 Wes tc e to r A Chubb Canipatiy PRIMARY AND NONCONTRIBUTORY — OTHER INSURANCE CONDITION Named Insured - - ----Endorsement Number Asbestos Management Group of California, Inc. Policy Symbol Policy Number -------T51icy .Per1od Effective Date of Endorsement GLW G47370188004 03/29/2026 to 03/29/2027 .-11.03/29/2026 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TMS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary and Noncontributory Insurance This policy is primary to, and will not seek contribution from, any other insurance available to an additional insured under this policy, provided that: a. The additional insured is a named insured under such other insurance; and b, . You have agreed in a written contract or agreement that this insurance would: .(i) act as primary insurance; and (2) would not seek contribution from any other insurance available to the additional insured. All other terms and conditions of this policy remain unchanged. ENV 3252 (12-18) Includes copyrighted material of Insurance Services Office, Inc. with its permission (266562.1) Page 1 of 1 POLICY NUMBER: G755305OA001 1X%% COMMERCIAL GENERAL LIABILITY nvw- CG 20100413 L-ZA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE A. Section 11 - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property_ damage" 11 personal ---and- a advertising injury caused, in whole or in part, by: I. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: - ----This---insurance--does-not--a-pply-ta--"budiIy-injuryll-or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your workil out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 0413 @ Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: I. Required by the contract or agreement; or 2. Available under the applicable Limits Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. of the the Page 2 of 2 @ Insurance Services Office, Inc., 2012 CG 2010 04 13 Lo