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HomeMy WebLinkAboutBell Plumbing of San Mateo Inc. 01.12.2026�-CERTIFICATE CSF LIABILITY INSURANCE DATE (MMIDDIYYYY) E01/12I2026 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 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 FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES INCLUDING PRIMARY SOURCE INSURANCE AGENCY NAME: CLIENT CONTACT CENTER PHONE FAX (AIC, No, Ext1:888-333-4949 JAIC, No): 507-446-4664 121 E. PARAMN55SQUARE OWATONNA, MN 55x60 E-MAIL CLIENTCONTACTCENTER FEDINS.COM � INSURERS AFFORDING COVERAGE NAIL # INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED INSURER B: CERTAIN UNDERWRITERS AT LLOYDS LONDON 15792 BELL PLUMBING OF SAN MATEO INC 1180 SAN CARLOS AVE BOX 704 INSURER C: INSURER D: SAN CARLOS, CA 94070-2418 INSURER E: INSURER F: 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 INSR SIJ¢R '"DD P6LICY NUMBER POLICY EFF M IDDIYYYY '`POLIOY E)(P MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $130002000 CLAIMS MADE OCCUR DA occ E T RENTED PREMISES(Ea $100,000 MED EXP (Any one person) EXCLUDED A Y N 9829156 03/17/2025 03/17/2026 PERSONAL & ADV INJURY $1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: POLICY [BxECT 7- LOC GENERAL AGGREGATE $2,000,000 PRODUCTS & COMP/OP ACC $210003000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $110003000 X ANYAUTO BODILY INJURY (Per Person) A OWNED AUTOS ONLY AUTODULED N N 9829156 03/17/2025 03/17/2026 BODILY INJURY (Per Accident) HIRED AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per Accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $x,000,000 A EXCESS LIAB CLAIMS -MADE N N 9829157 03/17/2025 03/17/2026 AGGREGATE $3,000,000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERI EXECUTIVE OFFICERIMEMBER EXCLUDED? L (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA _ PER STATUTE THER E.L EACH ACCIDENT E.L DISEASE EA EMPLOYEE _E.L_DI_SE.ASE-P_0LI_CM LIMJT _ CONTRACTORS POLLUTION LIABILITY Y Y CPLI0201 16001 01/08/2026 01/08/2027 EACH LIMIT $21000,000 B AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) SEE ATTACHED PAGE %05.rx I I Iti..raa 9- N Iv. Lim. am WAN L;rLLA I IUPJ TOWN OF LOS ALTOS HILLS 26379 W FREMONT RD 75 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED LOS ALTOS HILLS, CA 94022-2624 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE d 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2416605) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LCC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES BELL PLUMBING OF SAN MATEO INC1180 SAN CARLOS AVE BOX 704 INCLUDING- PRIMARY SOURCE INSURANCE AGENCY SAN CARLOS, CA 94070-2418 POLICY NUMBER SEE CERTIFICATE # 75.0 CARRIER NAICCOD E " EFFECTIVE DATE: SEE CERTIFICATE x#'75:0 SEE CERTIFICATE ## 75.0 ADDITIONAL REMARKS THIS ADDITIONAL REMARkS' FOR' 'M :IS A ' SCHEDU LE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE —CERTIFICATE OF LIABILITY INSURANCE' POLICY COVERAGE AS OF.01/08/'2026. ADDITIONAL INSURED INCLUDES: THE -TOWN AND ITS OFFICERS, AGENTS, INDEPENDENT CONTRACTORS, AND EMPLOYEES. GENERAL LIABILITY COVERAGE CONTAINS: CG 25 03 DESIGNATED CONSTRUCTION GENERAL AGGREGATE LIMIT ENDORSEMENT APPLICABLE TO EACH CONSTRUCTION PROJECT AS REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED ENDORSEMENT FOR CONTRACTORS POLLUTION LIABILITY. TYPE OF POLICY. THE CONTRACTORS POLLUTION LIABILITY COVERAGE CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS OF THE WAIVER OF SUBROGATION. IINSURANCE PROVIDED BY THE CONTRACTORS POLLUTION LIABILITY IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THE CONDITIONS OF THE PRIMARY NON-CONTRIBUTORY. ACORD 101 (2009/01) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 111�1!9 IL ire], ADDITIONAL INSURED m OWNERS, LESSEES OR CONTRACTORS = AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 - Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury,", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. 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. -------H-o--w--e-v--e-r--,- t e insurance -- afforded- to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organizations status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. @ Insurance Services Office, Inc., 2018 CG 20 33 12 19 Policy Number: 9829156 Page 1 of 2 Transaction Effective Date: 03/17/2025 2. "Bodily injury," or "property damage" C. With respect to the insurance afforded to these occurring after: additional insureds, the following is added to a. All work, including materials, parts or Section III - Limits Of Insurance: equipment furnished in connection with, The. most we will pay on behalf of the additional su*Ch,-'vor project ec than k -on the' t"'.(6ther" red- i ns: 6' the 'amount; of "is -insurance:, service, maintenance or repairs) to be .1. Required by. the contract or agreement you performed .by ,or on behalf ,of the. additiona[-,.'.....: -have'erito"red into With"t e additional insured; Ii additi insured,(8).--at -the". loc'Ati6h"of the ` covered or operations has been topleted;or' m I Available under the applicable limits of b. That portion of "your work" out of which insurance; the injury or damage arises has been put whichever is less. to its intended use by any person-- or organization other than another contractor' This endorsement shall not increase the or subcontractor engaged in performing applicable limits of insurance. operations for a principal as a part of the same project. Page 2 of 2 @ Insurance Services Office, Inc., 2018 CG 20 33 12 19 Policy Number: 9829156 Transaction Effective Date: 03/17/2025 POLICY NUMBER: 9829156 'A' A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Designated Construction Project(s): Each construction project as required by written contract or written agreement. COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. -1 A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by damages or under Coverage C for medical "occurrences"' under Section I - Coverage A, and expenses shall reduce the Designated for all medical expenses caused by accidents Construction Project General Aggregate Limit under Section I - Coverage C, which can be for that designated construction project. Such attributed only to ongoing operations at a single payments shall not reduce the General designated construction project shown in the Aggregate Limit shown in the Declarations nor Schedule above: shall they reduce any other Designated 1. A separate Designated Construction Project ConstructionProject General Aggregate Limit General- —A—ggregate Limit applies to each --- ------for any other designated construction project designated construction project, and that limit shown in the Schedule above. is equal to the amount of the General 4. The limits shown in the Declarations for Each Aggregate Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, except General Aggregate Limit shown in the damages because of- "bodily - injury" or Declarations, such limits-wil-I be subject to the "property damage" included in the "products- applicable Designated Construction Project completed operations hazard", and for medical General Aggregate Limit. expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "Its"I CG 25 03 05 09 @ Insurance Services Office, Inc., 2008 Page 1 of 2 B. For. all sums which the insured becomes legally obligated to pay as damages caused by "Occurrences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section I - Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products -completed Operations Aggregate Limit, whichever is applicable; and .2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -completed Operations Aggregate Limit, and not reduce the General Aggregate Limit. nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 - @ Insurance Services Office, Inc., 2008 CG 25 03 05 09