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HomeMy WebLinkAboutBell Plumbing of San Mateo Inc. 02.10.2026 V21 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 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 CLIENT CONTACT CENTER FNAME: ONE FAX c, No, Ext): 888-333-4949 {AIC, No): 507-446-4664 121 E. PARD SQUARE OWATONNA, MN 55060 E-MAIL ADDRESS: CLIENTCONTACTCENTER c@FEDINS.COM INSURERS AFFORDING COVERAGE NAIL # INSURER A. -FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE $110002000 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 ANYAUTO OWNED AUTOS ONLY SCHEDULED HIRED AUTOS ONLY NON -OWNED AUTOS ONLY INSURER .F: N COVERAGES CERTIFICATE NUMBER:, 75 REVISION NUMBER: D 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 SlIBR IIWD POLICY NUMBER POLICY EFF MM1DbIYYYY POLICY EX MMIDDIYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY nPRO- ❑ LOC Ii -- WwECT OTHER: Y N 9829156 03/17/2026 03/17/2027 EACH OCCURRENCE $110002000 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 & COMP/OP ACC $2,000000 , A AUTOMOBILE LIABILITY X ANYAUTO OWNED AUTOS ONLY SCHEDULED HIRED AUTOS ONLY NON -OWNED AUTOS ONLY 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 03117/2027 EACH OCCURRENCE $3,000,000 AGGREGATE $310003000 DED I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERI EXECUTIVE OFFICERIMEMBER EXCLUDED? L (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A I PER STATUTE THER E.L EACH ACCIDENT E.L DISEASE -EA EMPLOYEE T_ E.L DISEASE POLICY LIMIT B CONTRACTORS POLLUTION LIABILITY Y Y CPLI02016001 01/08/2026 01108/2027 EACH LIMIT $2,0003000 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 I CERTIFICATE HOLDER CANCELLATION TOWN OF LOS ALTOS HILLS 750 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 © 1988-2415 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 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 COM I PANY 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# 75.0. CARRIER NAIL CODE EFFECTIVE DATE: SEE CERTIFICATE # 75.0 SEE CERTIFICATE # 75.0 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE ADDITIONAL INSURED INCLUDES: THIE.TOWWAND 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. 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) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20331219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED -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. B. With respect to the insurance afforded tothese additional insureds, the following additional exclusions apply: This insurance does not apply to: However-,-- --1h-e----Jns­uran-ce- --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 organization's *status as an additional insured under this endorsement ends when your operations for that additional. insured are completed. 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 a—pp-l-ies----e--v–en----i'f–-ttie-----c--Iai'ms 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 Page 1 of 2 CG 20 33 12 19 Policy Number: 9829156 Transaction Effective Date: 03/17/2026 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 such work, on 'the project '(other than insured is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement you performed by or. on behalf of the additionalhave entered into with the additional insured; insured(s) at the 'location. of the covered or operations has been completed; or. 2. Available under the applicable limits of b. That portion of "your work" out of which insurance; i 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: 03/17/2026 POLICY NUMBER: 9829156 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Each construction project as required by written contract or written agreement. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I A. 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 can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project ----G--en-eral---- Ag-g-reg-at-e----Li-m-it---appl-i-es---to----each designated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project - General Aggregate Limit is .the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard,", and for medical 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 "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit - -for-an-y-other--des-ig-n-ated—con-st-ruc-tion7--project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. CG 25 03 05 09 @ Insurance Services Office, Inc., 2008 Page 1 of 2 B. For all sums which the insured becomes legally c.. When coverage for liability arising out of the obligated to pay as damages caused by "products -completed operations hazard" is "occurrences" under Section I Coverage A,- and provided, any payments for damages because of for all medical expenses caused by accidents "bodily injury" or "property damage" included in under Section I - Coverage C, which cannot be the "products -completed operations hazard" will attributed only to ongoing operations at a single reduce the Products -completed Operations designated construction project shown in the Aggregate Limit, and not reduce the General Schedule above: Aggregate Limit nor the Designated Construction 1. Any payments made under Coverage A for Project General Aggregate Limit. damages or under Coverage C for medical D. If the applicable designated construction project expenses shall reduce the amount available has been abandoned, delayed, or abandoned and under the General. Aggregate Limit or the then restarted, or if the authorized contracting Products -completed Operations Aggregate parties deviate from plans, blueprints, designs, Limit, whichever is applicable; and specifications or timetables, the project will still 2. Such payments shall not reduce any be deemed to be the same construction project. Designated Construction Project General E. The provisions of Section III - Limits Of Insurance Aggregate Limit. 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 - Additional Insured Copy POLICY NUMBER: 9829156 COMMERCIAL GENERAL LIABILITY CG 20121219 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 State Or Governmental Agency 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 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. Wit h---re-s-p-e-ct—to—t h-e---i-n s-ur-a n -c -e ----affo rd ed --to - t he se 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: 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: 03/17/2026