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Home My WebLink AboutBell Plumbing of San Mateo Inc. 02.10.2026CERTIFICATE OF LIABILITY INSURANCE DATE (MM/D 1 02/10/2026 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 FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES INCLUDING PRIMARY SOURCE INSURANCE AGENCY CONTACT NAME: CLIENT CONTACT CENTER. PHONE FAX (AIC, No, Ext): 888-333-4949 (AIC, Noy: 507-446-4664 121 E. PARI{ SQUARE OWATON NA, MN 55060 E-MAIL ADDRESS: CLIENTCONTACTCENTER@FEDINS.COM INSURERS AFFORDING COVERAGE MAIC # INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE $110001000 INSURED INSURER B: CERTAIN UNDERWRITERS AT LLOYDS LONDON 15792 BELL PLUMBING OF SAN MATEO INC 1180 SAN CARLOS AVE BOC 704 INSURER C: INSURER D: SAN CARLOS, CA 94070-2418 INSURER E: AUTOMOBILE LIABILITY X ANYAUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY r] INSURER F: N COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR LVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY -EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE -1 OCCURFX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY nPRO" ❑ LOC I � WECT OTHER: Y N 9829156 03/17/20126 03117/2027 EACH OCCURRENCE $110001000 DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) EXCLUDED PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS & COMPIOP ACC $210003000 A AUTOMOBILE LIABILITY X ANYAUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY r] N N 9829156 03/17/2026 03/17/2027 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) BODILY INJURY (Per Person) BODILY INJURY (Per Accident) PROPERTY DAMAGE (Per Accident) A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE N N 9829157 03/17/2026 03/17/2027 EACH OCCURRENCE $3,000,000 AGGREGATE $310003000 DED I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERI EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER STATUTE THER E.L EACH ACCIDENT El DISEASE -EA EMPLOYEE E.L DISEASE POLICY LIMIT B CONTRACTORS POLLUTION LIABILITY Y Y CPLI02016001 01/08/2026 01/08/2027 EACH LIMIT $2,000,000 AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION TOWN OF LOS ALTOS H I LLS 890 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 26379 W FREMONT RD LOS ALTOS HILLS, CA 94022-2624 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD IjJ ifte"-ENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES BELL PLUMBING OF SAN MATEO INC 1180 SAN CARLOS AVE BOX 704 INCLUDING PRIMARY SOURCE INSURANCE AGENCY SAN CARLOS, CA 94070-2418 POLICY NUMBER SEE CERTIFICATE # 89.0 CARRIER NAIL CODE EFFECTIVE DATE: SEE CERTIFICATE #89.0 SEE CERTIFICATE # 89.0 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE THE PERMITTEE IS RESPONSIBLE FOR ALL LIABILITY FOR PERSONAL INJURY OR PROPERTY DAMAGE WHICH MAY ARISE OUT OF WORK 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- 2.09, 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 $ 1,000,000 AND PROPERTY DAMAGE IN THE AMOUNT OF $11000)0001 WITH THE TOWN AND ITS,OFFICERS) AGENTSp INDEPENDENT CONTRACTORS, AND EMPLOYEES NAMED AS ADDITIONAL INSUREDS. 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 FAVI OR OF -THE CERTIFICATE. HOLDER, SV.BJECT,jO., IrHE,.-,,CONDIT,IONS.,.OF--.�-T.HE�...WA-,IVER..-.O=-!. SL�IBROGATI-ON-.-,!.-.,,..-:�;--�INSURAtICE-- PROVIDED BY THE CONTRACTORS POLLUTION LIABILITY S PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THE CONDITIONS OF THE PRIMARY NON-CONTRIBUTORY. ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 9829156 COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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 "Statet.0rGovernmental_i:A-gency.Or.-,!Su'bdivision:-..O:r�.,Pol,iticaI Subdivislow". 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 A. 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 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. --With—re-spect—to— th e ---i nsu-ra-nce--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; 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. Q Insurance Services Office, Inc., 2018 Page 1 of 1 CG 20 12 12 19 Policy Number: 9829156 Transaction Effective Date: 03/17/2026 181-788-8 89 #BWN DH BS BB000-02 - 0051 #XWXW0021 XXXXXXXS# TOWN OF LOS ALTOS HILLS 26379 W Fremont Rd Los Altos Hills, CA 94022-2024