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HomeMy WebLinkAboutDarling Family Corporation dba J&M Termite Control, Inc. 07.24.2025LCERITIFICATE". 0`f L19.1"L THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ODIC CERTIFICATE DOES NOT AFFIRMATIVELY OR 'NEGATIVELY AMEND, BELOW. THIS CERTIFICATE OF INSURANCEDOES NOT coNSTITU REPRESENTATIVE OR PRODIJICERA AND THE CERTIFICATE HOLDER. IMPORTANTA: if the certificate holder Is an ADDITIONAL INSUR ED, the If SUBROGATION IS WAIVED, subject to the terms,and. conditions 0 tl this ce0ificate does, not. confer rightsto the certificate holder In lieu o -f s PRODUCER EdPartners Ins. Center inewood . 677 White Rook Rd. Suite 300 Llc#OB29370 Rancho Cordova CA 95670 INSURED JMTERM Darling Family Corporation DBA J & M Termite Control, Inc. 159 N Whisman Rd Mountain. View CA 94043 ML a DATE (MM1001MY) MILITY" IONOUKANtwi= 7024/2025 ........ .. ­ .. ..... ... .... ...... (AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES rE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED )oflcy(les) must have ADDITIONAL INSURED provisions or be endorsed., I e policy,, certain policies may requirean endorsement. A statement, on x h. enddrsemlent TACT ESPPI 8 N A m F.,, ervice Team PH x LAIC Nq),, A ADDRESS—: ES,Pl$erviceTeem,.Oepicbrokejs..00m INUI AFFORDING COVERAGE NAIC # IN$UR9,F,1-A-, PreferredEmployers Incur ange cmpany 0900 INSURER, a Accelprant 8 eel nsurance Comp 16890 wsutisri c United Financial Casualty Company 11770 INSURER BODILY INJURY (Per person) INSURER E: BODILY INJUPY (Per acoldent) $ RO P 1' 13TY �AMAGE I I OOVERAGES CERTIFICATE NUMBER so 208,6087767 REVISION NUMBER,, M who THIS IS TO CERTIFY THAT THE POLICIE.8 OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CON.D.ITION OF AN� CONTRACT OR OTHER CERTIFIOATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE EXCLUSIONS AND CONDITIONS OF SUCH: POLICIES. Ll MITS SHOWN MAY HAVE KEN REDUCED BY PAID CLAIMS. L:IRI DOCUMENT WITH RESPECiT To L WHICH THIS HER, 'Ii IS SUBJECT TO ALL THE TERM$, L10TS .... r, w r4Pr�.A,,.,� � �rF 9,"I.. � .�MOA1 �M .tm4y TYPE OF INSURANCS j 0 W D POLICY NUMBER 8X COMMERCIALGENERAL LIABILITY y y LtP000770PK00054700 318/2025 3/8/2026 $2,000,000 CLAIMS -MADE E-] OCCUR 'I . ---------- 1 ED SING[E"LfMif Molf I ............ .... $1,000,000 BODILY INJURY (Per person) X BODILY INJUPY (Per acoldent) $ RO P 1' 13TY �AMAGE $ X GEN'L AGGREGATE. LIMIT APPLI ES PER: AGGREGATE - POLICY LOO El. EACH ACCIDENT _2 1, I� �, 000 E.L. DISEASE - EA EMPLOYEE ............. - . ....... 1-1W ­.,._..0_Y_11_ od) ... .......... ­­­ . ..... ------- -- ... ......... C AUTOMOSILELIASILITY y y '994241405 31812025 9/0/2025 ANY AUTO OWNED X SCHEDULED AUTO$, ON LY A'T HIRED 0 N?RW N E D AUTC )$. ONLY AUTOS ONLY UMBRELLA LII OCCUR EXCESS LIAO CLAIMS -MADE =0EE) RETENTION-$- WORKERSCO300750386 1A MPENATION Y PG10//2,024 10/1/1025 ANDEMPLOYERS! LIABILITY YIN .ANYPriOPR,IETOR/PAnTNER/C-XECUTIVE [ OFFICERIM EMS ES EXCLUDED? NIA (Mandatory In N14) If ya% desoribe under DESCRIPTION OF OPERATION81LOCATIONS / VEHICLES (ACORD 10-1, Additional Remarks, Schedule, may ttoohad If more speoe Is requi, Work performed by Named InSUred as per written contract. TE HOLDER CANCELLIA7n NOW 114", . I EA0 D NAMED ABOVE FOR THE POLICY PER1.0,I) DOCUMENT WITH RESPECiT To L WHICH THIS HER, 'Ii IS SUBJECT TO ALL THE TERM$, L10TS EACH OCCURRENCE DA 100,000 MED EXP (Any one enon) PERSONAL & ADV INJURY s 1,D00,000 GENERAL AGGREGATE $2,000.,000 PR0D'U0T,8-00MP/0PACqG $2,000,000 'I . ---------- 1 ED SING[E"LfMif Molf I ............ .... $1,000,000 BODILY INJURY (Per person) $ BODILY INJUPY (Per acoldent) $ RO P 1' 13TY �AMAGE $ TPr1M�hY� U,.f EACH OC-CURRENCE AGGREGATE El. EACH ACCIDENT _2 1, I� �, 000 E.L. DISEASE - EA EMPLOYEE $ 1 lon,000 El. DISEASE.- POLICY LIMIT .11110,0,0 , 0 od) ... .......... ­­­ . ..... ------- -- ... ......... SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED SEPORE THE EXPIRATION DATE. THEREOF, NOTICE WILL E. DELIVERED IN Town of Los Altos Hills Building Inspection Dept. ACCORDANCE WIND THE POLICY VISI NSM 26379'W Fremont Rd M Los Altos Hills CA 94022 AUTHORIZE.0 "REPRESENTATIVE USA ......... ............ ........ ... ....... .... ....... ... ........... 0 19882015 D CORPORATION., All rights reserve ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 294: 2 " of 7 PROGRESSIVE PO BOX 94739 CLEVELAND, OH 44101 Darling Family Corporation DBA Name,, AM Termite Control, Inc. 169 N Whisman Rd Mountain View, CA 94043 The attached endorsements listed to applies to pollicy number: 994241405 Form 2366 (02/11) Blanket Additional insured Endorsement Form 23,67 (06/10) Blanket Waiver of Subrogation Endorsement Endorsement effective: March 8, 2025 I laton dateFeeS W"Irl b;e waived on your curent Endorsements flistedabove are effective until policy cancli. r e 'I po,licy term, 294: 3 ;' of 7 Form 2366 (02/11) IVISL #M= This endorsement modifies insurance provided by the Commercial Auto Policy, Motor Truck Cargo Legal' Liab ilityCove rage Endorsement, and/or Commercial General Liability Coverage Endorsement, as appear on the declarations page, All terms and conditions of the pollIcy apply unless �modiffed by this endorsement. If YOU pay the fee for this Blanket Addlitional Insured Endorsement, we agree with you that any person or organization with whom: you have executeda written agreement prior to any loss Isadded as an additional insured with respe:ct to such liability coverage as Is afforded bly the poticy, but this Insurance 0 appliesto such additional insured only as a person or organization liablefor your operations and then only to the extent of that liability. This endorsement does not apply to: acts, ornisstions, products, work, or operations of the additional Insured. Regardless of the provisions oilf paragraph a, and b. of the "Other Insurance" clause of this policy, If the person or organization with whom you have executed a written agreement has other insurance. under which It is the first named insured and that insurance also applies, then this 'insurance is primary to and non-contributory with that ter insurance when the written contract oragreement between you and that X� _persori or organtza-tion, signed and executed Wry or t ge _by you before the bodily iq.j proper y dama occurs and In effect during the policy period, requires this insurance to be primary and non- contributory. in no way does this endorsement walvethe "Other Insurance" clause of the policy, nor make, this- policy tne insured or on the *nsured'sbe half primary to third parties hired by the insured to perform work fo I 1 0 294: 4 * of 7 j go No Form 20"'67 (06./1 . CL This endorsement modifies Insurance provided by the Commercial Auto PoRcy, Motor Truok Cargo Legal Liability Coverage Endorsement, and/or Commerol"al General, Liability Coverage Endorsement, as appears on the declarations I. All terms and conditions of the policy appl'y unless modified by this endorsement. t If you paythe fee Ifor this Bla,nket Waiver of SLUbrogation Endorsement, we agiree to waive any and all subrogati"on claims against any person or orqanization� with whom a written waiver agreement has been executed by the named insured, as required by, written, contract, prior to the occurrence of any, loss. L 294: 6 * of 7 ry LICY NUMBERI.-1 LIP0007OPK000547"00 COMMERCIAL GENERAL LIABILITY S GL 0070 00060 12 22 THIS ENDORSEMENTCHANGES THE POLICY. PLEASE READ IT CAREFULLYN ADDITIONAL INSURED (INCLUDING C01VIPLETED OPE, RATIONS) AUTOMATIC STATUS WHER REQUIRED IN WRITTEN AGREEMENT WITH YOU I EMM 0 r 211 0 ZL TAIN-ru 0 AN -4 ILL i The insurance provided by this endorsement shall not serve to increase our limits of insurance as described in SECTION 111,LIMITS OF INSURANCE, 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 1.9 an additional insured only with respect to liability for: 1. "Bodily injury", "property damage" or"personal and advertising injury',caused, in whole orin part, by: .bI . The sets or omissions of those acting on your behalf in the performance of your ongoing operations for that additional insured, and 2. "bodily injury", "property damage" included in the "prod ucts-completed operations hazard" with respect to "your work" performed for that additional insured B. Only with respect to the 'insurance afforded to any additional insureds by this endorsement, paragraph 4. Other Insurance, sub paragra P h a.. Primary Insurance of 85CTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS Is amended to read as follows'k, This insurance shall be considered primary, 'if any other valid and collectible insurance is available to any person or organization included as an additional Insured Linder this endorsement and suoh other insuranoe, shall be excess of and will not contribute to the inSUrance afforded by thi's endorsement. C. Only with respect, to the insurance afforded to any additional insureds bythis endorsement, paragraph 8, Transfer Of 1119fits of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following* We will waive any right of recovery we may have against any person or organization added as an additional insured under the terms of this endorsement against whom you have agreed to weive such right of recovery in a writtenoont' ract or agreement because of payments we make for "bodily Injury" or ""property damage" you arising out of r ongoing operations or "your workP included within the products completed operations hazard done under a contract or agreement with that person or organization," 8 GL 0070 00060 12 22 Page I of I 294: 6 " of 7 f"Merred Fre I N S U R A N C E C 0 M P A N Y WC 99 07 00 WAIVER OF'OUR, RIGHT TO RECOVER FROM OTHERS ENDORSEMENT— BLANKET VT'e have the right to recover our payments from anyone liable for an injury covered by thi s. policy, We will not enforce our right against the person or organjZation for wh,ich you perform work under a written contract that requi,res you to obtain this agreeme- nt torn us. :n I The premium charge for this, endorsement shall be 3% of the Worker's Compensation premium, subject to a miG i nmum charge of $500.00 This endorsement changes the policyto which it Is affached effective on the date issued unless otherwise statad,. (The information bellow Is required only when, this endorsement is Issued subsequent to preparation of the policy.) Endorsement Effective 10101/24 Policy No. PEG300756386 Endorsement No. 2 Insured DARLING FAMILY CORPORATION DBA J & M TERMITE CONTROL INC. Insurance Company PREFERRED EMPLOYERS I-NSURANCE COMPANY Countersigned By 294: 7 * of 7 Edgewood Partners Ins. Center 10877 White Rock Road Ste 300 L6OB70 Rancho Cordova, CA 95670 294 2 SP 1.900 111111111111111 111111 Jill 111111111111111111 TOWN OF LOS ALTOS HILLS BUILDING INSPECTION DEPT 26379 W FREMONT RD LOS ALTOS A 94022-2624 29A ir 294, 1 " of 7