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HomeMy WebLinkAboutCalvey Heating & Air 02.02.2026CERTHOLDER COPY COMPENSATION P.O. BOX 8192, PLEASANTON, CA 94588 INSURANCE FUND' CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-30-2026 GROUP: POLICY NUMBER: 9394472-2026 CERTIFICATE ID: 3 CERTIFICATE EXPIRES: 01-29-2027 01-29-2026/01-29-2027 LOS ALTOS HILLS - BUILDING DEPARTMENT NA 26379 W FREMONT RD LOS ALTOS HILLS CA 94022-2624 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2572 ENTITLED BLANKET WAIVER OF SUBROGATION EFFECTIVE 2026-01-29 IS ATTACHED TO AND FORMS A PART OF THIS POLICY ENDORSEMENT #1651 BERNARD CALVEY T - EXCLUDED. EMPLOYER CALVEY HEATING & AIR 247 E ST UOHN STREET SAN DOSE CA 95112 (REV.7-2014) NA M0408 PRINTED 02-02-2026 NA CERTHOLDER COPY P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 02-03-2026 TOWN OF LOS ALTOS HILLS - BUILDING DEPT NA 26379 W FREMONT RD LOS ALTOS HILLS CA 94022-2624 GROUP: POLICY NUMBER: 9394472-2026 CERTIFICATE ID: 7 CERTIFICATE EXPIRES. 01-29-2027 01-29-2026/01-29-2027 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE # 3 DATED 01-30-2026 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer. We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. -,eex Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2572 ENTITLED BLANKET WAIVER OF SUBROGATION EFFECTIVE 2026-01-29 IS ATTACHED TO AND FORMS A PART OF THIS POLICY i i ENDORSEMENT #1651 - BERNARD CALVEY T - EXCLUDED. EMPLOYER CALVEY HEATING & AIR NA 247 E ST.JOHN STREET SAN JOSE CA 95112 M0408 (REV.7-2014) PRINTED 02-04-2026 NA