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Home My WebLink AboutBell Plumbing of San Mateo Inc. 01.12.2026 V2�-CERTIFICATE CSF LIABILITY INSURANCE DATE (MM/D Y) 01112/2026 IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF F SURANCE 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 CONTACT NAME: CLIENT CONTACT CENTER PHONE FAX (A/C, No, Ext): 888-333-4949 (A/C, No): 507-446-4664 121 E. PARD SQUARE OWATONNA, MN 55060 E-MAIL ADDRESS: CLIENTCONTACTCENTER a@FEDINS.COM INSURERS AFFORDING COVERAGE NAIC # 03/17/2025 INSURER A. -FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE $.110003000 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: AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY N INSURER F: %0WVC7, €1AVr_0 tatrc I IF'IGAI t NuivlltiLK: 89 REVISION NUMBER: 0 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. ILTR TYPE OF INSURANCE !NSR SUBR WVD POLICY POLICY EFF MMIDDIYYYY POLICY EXIT MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXJOCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PQLICYECT F-1LOC OTHER: Y N 9829156 03/17/2025 03/17/2026 EACH OCCURRENCE $.110003000 DA MAGE TOc RENTED PREMISES(Ea $100,000 MED EXP (Any one person) EXCLUDED PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS & COMP/OP AGC $210001000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY N N 9829156 03/17/2025 03/17/2026 COMBINED SINGLE LIMIT (Ea accident) $110001000 BODILY INJURY (Per Person) - BODILY INJURY (Per Accident) PROPERTY DAMAGE (Per Accident) A X UMBRELLA LIABX OCCUR EXCESS LIAB CLAIMS -MADE N N 9829157 03/17/2025 03/17/2026 EACH OCCURRENCE $3,000,000 AGGREGATE $310003000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERI EXECUTIVE OFFICER/MEMBER EXCLUDED? L (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A TPER STATUTE FTTHER E.L EACH ACCIDENT E.L. DISEASE EA EMPLOYEE E.L DISEASE • POLICY LIMIT B CONTRACTORS POLLUTION LIABILITY Y Y CPLI02016001 01/08/2026 01108/2027 EACH LIMIT $21000,000 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 PAIGE CERTIFICATE HOLDER CANCELLATION TOWN OF LOS ALTOS HILLS 26379 W FREMONT RD 89 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/08) The ACORD name and logo are registered marks of ACORD AGENCY. CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES BELL PLUMBING OF SAN MATEC7 INC 1180 SAN CAR LOS AVE BOX 704 -INCLUDING PRIMARY SOURCE INSURANCE AGENCY SAN CARLOS, CA 54070-2418 _.. POLICY NUMBER SEE. CERTI.FICATE'# 89.0 CARRIER NAIL CODE. EFFECTIVE DATE: SEE CERTIFICATE # 89.0 SEE CERTIFICATE# -89.0 :.. AQUI I ZONAL KLMAKKS - r THIS ADDITIONAL REINAR'KS fORM'lS.A*SCHEDULE TOACORD-:IFORM,' FORM NUMBER. 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE POLICY COVERAGE AS OF 01./08/2026 THE PERMITTEE IS RESPONSIBLE FOR ALL LIABILITY FOR PERSONAL INJURY OR PROPERTY DAMAGE WHICH MAY ARISE OUT OF WORD HEREIN PERMITTED OR WHICH MAY ARISE OUT OF FAILURE ON THE PERMITTEES PART TO PERFORM HIS, HER, OR ITS OBLIGATIONS UNDER THIS PERMIT IN RESPECT TO MAINTENANCE. IN THE EVENT ANY CLAIM OR SUCH LIABILITY IS MADE AGAINST THE TOWN OF LOS ALTOS HILLS OR ANY AGENT, INDEPENDENT CONTRACTOR, OFFICER, OR EMPLOYEE OF THE TOWN, THE PERMITTEE SHALL DEFEND, INDEMNIFY, AND HOLD THEM AND EACH OF THEM HARMLESS FROM SUCH CLAIM. PURSUANT TO 7- 2.091 THIS PERMIT SHALL NOT BE EFFECTIVE FOR ANY PURPOSE UNLESS AND UNTIL THE ABOVE-NAMED RE: PERMITTEE FILES WITH THE TOWN THE FOLLOWING CERTIFICATES OF INSURANCE: PUBLIC LIABILITY IN THE AMOUNT OF S 1,000,000 AND PROPERTY DAMAGE IN THE AMOUNT OF $1100010001 WITH THE TOWN AND ITS OFFICERS, AGENTS, INDEPENDENT CONTRACTORS, AND EMPLOYEES NAMED AS ADDITIONAL INSUREDS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED_.:SU;IB4ECT-T-0 THE :-CDND.I.TIONS --OF;.T.HE ADDITIONAL —INSURED -ENDORS►EHENT FMR 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. INSURANCE PROVIDED BY THE CONTRACTORS POLLUTION LIABILITY IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THE CONDITIONS OF THE PRIMARY NON-CONTRIBUTORY. ACORD 101 (2008/01) Q 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 9829156 COMMERCIAL GENERAL LIABILITY CO 20 12 12 19 WAN 111� i * IN III ADDITIONAL INSURED =.STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL . SUBDIVISION =PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE state Or GbvernmentAll 7Agency'Or -Subdivision Or -Political Subdivision, Town of Los Altos Hills 26379 W Fremont Rd Los Altos Hill, CA 94022-2624 lInformation required to complete this Schedule, if not shown above, will be shown in the Declarations. I Fil Section 11 - Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or -------subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. 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. Insured: Bell Plumbing of San Mateo Inc 1180 San Carlos Ave Box 704 San Carlos, CA 94070-2418 2. This insurance does not apply to: a. '°Bodily injury," "property damage" or ",personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". B-N-_----With----respect-to -the--i-n-su-rant-e—affo—rdod--to -these additional insureds, the following is added to Section 1-11 - 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Project or Reference: Additional Insureds Also Include: the Town and its Officers, Agents, Independent Contractors, and Employees. @ Insurance Services Office, Inc., 2018 Page 1 of 1 CG 20 12 12 19 Policy Number: 9829156 Transaction Effective Date: 03/17/2025 161-783-6 89 #BWN ❑H BS BD000-01 - 0041 #XWXW0021 XXXXXXX5# TOWN OF LOS ALTOS HILLS 26379 W Fremont Rd Los Altos Hills, CA 94022-2624