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HomeMy WebLinkAboutByldan Corporation dba Clarum Homes & Clarum Com 08.29.2025CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)08/29/2025 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 MCGRIFF INS SERVICES 7701 AIRPORT CTR 1800, GREENSBORO, NC 27409 CONTACT NAME: Progressive Commercial Lines Customer and Agent Servicing PHONE FAX A1C, No,, Ext): 1-800-444-4487 A/C No): E-MAIL ADDRESS: progressivecommercial@email.progressive.com INSURER(S) AFFORDING COVERAGE MAIC # 1NSURER-A-:- United- Financial. Casualty Company 11770 - DAMAGE TO RENTED PREMISES Ea occurrence INSURED INSURER B: BYLDAN CORPORATION DBA: CLARUM HOMES & CLARUM COM GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT []LOC OTHER: P O BOX 60970 INSURER C: INSURER D PALO ALTO, CA 94306 INSURER E: Y INSURER F: 05922280 COVERAGES CERTIFICATE NUMBER: 548254530290718805DO82925Tl95445 REVISION NUMBER: 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 POLICY EFF (MM/DD/YYYY) POLICY EXP (MNI/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1-1 OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ea occurrence MED EXP (Any one person) PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT []LOC OTHER: GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO OWED SCHEDULED AUTNOS ONLY _ x AUTOS HIRED NON -OWNED - AUTOSONLYAUTOS-ONLY Y Y 05922280 02/23/2025 02/23/2026 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY Per person BODILY INJURY Per accident $ PROPERTY (3AMAGE (Per --accident)-$ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTN.ER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A UT H E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE E.L. DISEASE -POLICY LIMIT $ A See ACORD 101 for additional coverage details. Y Y 05922280 02/23/2025 02/23/2026 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF LOS ALTOS HILLS, ITS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ELECTIVE AND APPOINTED OFFICERS ACCORDANCE WITH THE POLICY PROVISIONS. 26379 FREMONT R LOS ALTOS, CA 94022 __--_---_ AUTHORIZED REPRESENTATIVE ©1988-2015 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 ± of - I AGENCY NAMED INSURED MCGRIFF INS SERVICES BYLDAN CORPORATION DBA: CLARUM HOMES & CLARUM COM P 0 BOX 60970 PALO ALTO, CA 94306 POLICY NUMBER 05922280 2020 MERCEDES -BENZ METRIS WD3PG2EA9L3675298 CARRIER MAIC CODE EFFECTIVE DATE: 02/23/2025 United Financial C2SU21ty COMp2ny 11770 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 — FORM TITLE: Certificate of Liability Insurance Insurance coverage(s) Limits Uninsured/Underinsured *Motorist ..............$1,000,000 "'­''**... Combined ...Single " * ** ' Limit'' ...... ", ......... "** .............. ............. Description of Location/Vehicles/Special Items Scheduled autos only 2018 TESLAMODEL...' -*-... 3-5, Y-J-3"E"*1*E- A -4 -JF -0, 0-4-5,5-9, Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person 2020 MERCEDES -BENZ METRIS WD3PG2EA9L3675298 .......... * ...... * ........................ ' ........ ............... Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person 26'2*1 TESLA MODEL ....... * ...... ' ... * ............. ......... ...... ........ ....... ....... ...... Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person �6'�� , * ......... * ........... .................. ...... ........... ......... ...... ............... ......... Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person 20-2* "i, ............ * .............. ................ ' ........... ....... * ........ ' ....... Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person .......... —* ......................... ............. * ....... ' ...... ........ .............. * ............. ............. 2025 CHEVROLET BLAZER 3GNKDHRK3SS178018 Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person Additional Information THE TOWN OF LOS ALTOS HILLS, ITS ELECTIVE AND APPOINTED OFFICERS, EMPLOYEES, AND VOLUNTEERS is listed as an Additional Insured and Waiver of Subrogation Holder. We will endeavor to provide 30 days notice of cancellation to the certificate holder, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. ACORD 101 (2008/01) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD United Specialty Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. VEN 064 00 (04/22) THIRD PARTY CANCELLATION NOTICE ENDORSEMENT This endorsement modifies the Conditions provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART If we cancel this policy for any reason other than nonpayment of premium, we will mail notification to the persons or organizations shown in the schedule below (according to the number of days listed below) once the Named Insured has been notified. If we cancel this coverage for nonpayment of premium, we will mail a copy of such written notice of cancellation to the name and address below at least 10 days prior to the effective date of such cancellation. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. SCHEDULE Name and Address of Other Person/Organization Number of Calendar Days Notice Per schedule on file with the Company. 30 All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. VEN 064 00 (04/22) Page 1 of 1 This page has been left blank intentionally. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/29/2025 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 MCGRIFF INS SERVICES 7701 AIRPORT CTR 1800, GREENSBORO, NC 27409 CONTACT NAME: Progressive Commercial Lines Customer and Agent Servicing PHONE FAX A/C No, Ext): 1-800-444-4487 A/C No): E-MAIL ADDRESS: progressivecommercial@emaiI.progressive.com INSURER(S) AFFORDING COVERAGE NAIC # IN.SURER_A-:_ United- Financial Casualty Company - 1.1-770. DAMAGE TO RENTED PREMISES Ea occurrence $ INSURED INSURER B: BYLDAN CORPORATION DBA: CLARUM HOMES & CLARUM COM GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY F1 JECT LOC OTHER: P O BOX 60970 INSURER C: INSURER D: PALO ALTO, CA 94306 INSURER E: Y INSURER F: 05922280 COVERAGES CERTIFICATE NUMBER: 548254530290718805DO82925Tl95445 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED_NAMEQ 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 POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY F1 JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY -AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS HIRED NON -OWNED AUTOS -ONLY - AUTOS -ONLY Y Y 05922280 02/23/2025 02/23/2026 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY Per person BODILY INJURY Per accident $ PROPERTY DAMAGE (Per accident}---- $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE❑ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A E E Q H_ MUTE E E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A See ACORD 101 for additional coverage details. Y Y 05922280 02/23/2025 02/23/2026 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserved. CORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF LOS ALTOS HILLS, ITS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ELECTIVE AND APPOINTED OFFICERS ACCORDANCE WITH THE POLICY PROVISIONS. 26379 FREMONT R LOS ALTOS, CA 94022 AUTHORIZED REPRESENTATIVE Aw4e ©1988-2015 ACORD CORPORATION. All rights reserved. CORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page I of - I AGENCY NAMED INSURED MCGRIFF INS SERVICES BYLDAN CORPORATION DBA: CLARUM HOMES & CLARUM COM P 0 BOX 60970 PALO ALTO, CA 94306 POLICY NUMBER 05922280 2020 MERCEDES -BENZ METRIS WD3PG2EA9L3675298 CARRIER NAIC CODE EFFECTIVE DATE: 02/2312025 United Financial Casualty Company 11770 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 — FORM TITLE: Certificate of Liability Insurance Insurance coverage(s) Limits . ... ..... . ...... ......... ....... .. .. ...... ..... ....... ..... .. ... .. . .. . Uninsured/Underinsured Motorist $1,000,000 Combined Single Limit Description of Location/Vehicles/Special Items Scheduled autos only Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person 2020 MERCEDES -BENZ METRIS WD3PG2EA9L3675298 .............. .......... ......... ...... -- ............ --- ......... Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person 2021 TESLA MODEL V'6YJ-Y- 6b *E' E'*O* 'M-Ilb 63-6-68, ...... --- ... * * * ' ' ' ' ' - * ' ' * ' " ' ' ' ...... .......... ......... ............. ......... Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person .......... , ..... , .... , ........ '"', ............. ......... ............ ..................... ............... ...... Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person ........... ...... - ...... ......... * ...... .......... 2021 MERCEDES -BENZ METRIS W1YVOBEY4M3824616 Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person .................... ...... ............... * ........... * ........ .......... * ........... 2025 CHEVROLET BLAZER 3GNKDHRK3SS178018 Collision $2,500 Ded Fire and Theft w/ CAC $2,500 Ded Medical Payments $5,000 each person Additional Information THE TOWN OF LOS ALTOS HILLS, ITS ELECTIVE AND APPOINTED OFFICERS, EMPLOYEES, AND VOLUNTEERS is listed as an Additional Insured and Waiver of Subrogation Holder. We will endeavor to provide 30 days notice of cancellation to the certificate holder, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD United Specialty Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. VEN 064 00 (04/22) THIRD PARTY CANCELLATION NOTICE ENDORSEMENT This endorsement modifies the Conditions provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART If we cancel this policy for any reason other than nonpayment of premium, we will mail notification to the persons or organizations shown in the schedule below (according to the number of days listed below) once the Named Insured has been notified. If we cancel this coverage for nonpayment of premium, we will mail a copy of such written notice of cancellation to the name and address below at least 10 days prior to the effective date of such cancellation. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. SCHEDULE Name and Address of Other Person/Organization Number of Calendar Days Notice Per schedule on file with the Company. 30 All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. VEN 064 00 (04/22) Page 1 of 1 This page has been left blank intentionally.