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HomeMy WebLinkAboutFidelity National Information Serv. Inc. 02.04.2026. . � .. . 0 .�'. . I � . .. II � .I .I... 1 . I I . . 1. A C.". .� E1RI. TIFICATE OF LIABILITY INSURANCE ° "TI.. .0(yMn026Y°Y' ,. ` . THIS CERTIFICATE. I ISSUED A R : N. , L)( AND :, E . �. .- H D� . THII MA,MATT C31F Ir�FC�RMIAT��► �JN , C Ih „ NO: R.1fiN�"I"A: UPON THIS CERTIFICATE.CSL EIS. I I I. .. CERTIFICATE TE DOES NOT AFFIRMATIVELY: DIS NEGATIVELY- AMEIND XTENI) OIC .ALTER. TIDE COVERAGE 'AFFORD�D �.�B"Y THE POLI IIE `. . . .. :1. BELOW. THIS CERTIFICATE OF IN�UFtAN E i�C�EB N+�►i" I�C�N TITUT"1� A Ct��l�i�AC�. BETWEEN THE�:ISSUI1NG I�L�'URER B AUTHORIZED. ...:. .., .... ..... . .. .. . _ . . ., , REPRE .ENTATIVE OR PRODUCER ASID TIHE. CERTIFICATE ATE HOL DER* :: .. .. . .1. .. .. .. .. IIr11PORTANT:. f.�ho .dertifacate: holder% Is ail ADDITIONAL INf URED the: 4I�c (r��s mist have ADD INSURED' rovisions o 'be endoe Od.. if ..'. "' 1.IONAL ... .. . . .UBRC G I (0*14 I a WAIVED s jojOet to the t"' m �1�{d �olndi�N�l�s �►t tp�e alw�V �er�aNn X10 - rraa re re srr end+�rser�ni�n� :A stetenrler�t cin th1.is:. «�' . 0ortwf of ate does -not .confer 'rig hts.t0 the. celrti'ft to .holder in lteul �t.such.:endorsernent s . . . . .. .. .. .. .. . .... .. ( ). r . .. . ,: . I. . -A PR.QDUCER.:4.• .. . ... T CT A '209E.' . Aan Risk ,,nsurance ser°vices west Inc. .:. y . .. i Denver co. �f ce . /- may- . y' �y yg� - /� P E ../{.186.6 ^712.2' .,.. . SAX lfgV .'V : 4AltI. Ai'V C. Nb, Ext) Y � wc:.Na,). . (p//.'`J 20o cl �ea : street,.sup goo - y p�.. .. EMAIL .1. 0 . . . . . Denver..Co i_, 20 ,USA . . . ADQREaS�; :. . . . . 1 .. 1.INSURERS) . .. . . AFFOR N COVERAGE NAIL1. # . .•. INSUR o ` . _ 1.INSU.�IER . - . C t� n u 1a a.r�.... ' 2 4 43 .. A .. . on. on a , Cas a . ty . mp y _ ...- F de17 N t zonalnfgl^ma onSe rv.. znc y. i . « .. ... I. .. . , .. ; INSt RER I ; Amir�.can Casual y c. o.F Ready ng PA 2047 . . and. all s�I si dpi ars s .. .: 34T ve rs cJ.0 AVe - ' . '... : - . . . /V 1. M+\,J INSURER Ck Trar�sp4rt� pn ins:urance 28494 : . Y 7�icksvnvi 1-1 e . FL 32202 USA, .1. ., ...' : ... . .,. .'TM � fi"1 rrieCo `n'�. 28' . . R n...:. e., o..: r": n a =nsu a Company'.. y 35 9 INSURER,1. . 1. . .: 4. INSURER E..ra Alert ,an 5 r t 'Ins Co : 3723 :. . . . . . . . . ..: .. . . INSURER'FY ... , .Eve r'e:s . rrlat�I c n `Ins u rance.: C4 Q 2: i �y COVERAC I I ..�11 CERL IFIC.ATE NUM ERL: '5.70117'922951, . .. I EV'1 1 ,i1� f� .. DBI�0 .. N _ ,— : .. . . THIS IS. TCS CERTIFY.T HAT TME'I OLICIEu CSF INSURANCE L TED BELOW HAVE. �3E IS.�UED TC TME. IN�UREC� NAIVIEC� A�(L - ' . FC I.R THE ;I�(��:I�Y1. PEI�((�Q: . _ ND AT.E :: T. I1. Y I D. C7T D1N N R IRE T :T E T T IC I� W TH AN G A EQL MEN $ ERM C.A ONQITION OF' ANY CONTR CT' �I� OTHE`I� I�Od+UMENT WITH R PFC O WHICH THIS . : . 1.. CER IF'ICATE MAY, BE i ED OR MA PERT TME'. IN : A F D Y T :H : I CT L T M' LJ . 1� AIN, 1RA JQ nI R . HE: F POLICIES. .. p .. RIEED E N I$ I RJE TOA . L .THE TERM ; .11 . XCL I N AND. C NDI I N UC C I S I V Y E I„1 C OF M L I , LI11II THWIv MAY HA REEK RF.DLIED B. PAID ;CL,AIM.irts sheenrl are' re a#e+ .. , LTR .. N . T . PE QF INSURA CE I.IVSD WVD: , '.POLICY NUMBER' (MM/DD/YY MM/DD/YYY . ' . : ' LIMIITS' .. A . : X ..., C - MMERCIAL`O.E:NERAL LIABILITY 0 . , ... , ..::: '..'..... . . R 2t.1000.0 E. QCC.UR EN .LE , QQ .., .1. . . :, - LA1 S -MADE X tDCCIJR M . _ 1. .. .., . .. .. . . .1. 1. . I $2 000:1.:Q.q.q P REMISES' E� oceiarrsi�ce 9 �.. ,. . .. ... , . . ... .. . I. I�;EXP (Any cine person} $ �:C) ,.qqQ . . L. ..: 1. 1. :. . . , .. - .. . . . :PE , ADV. INJURY... L.$2,:000,00 - . . . GEN'LA I ELATE. LIMLTAPPLIES PER: GG . : .. 1. CE.NERAL;AG REGATE.1. $4.,.000; DQ4 . . .. . PR©� I QL Y X.. LO P' •Ic' :. G .. 'JECTI. . , . L.PRODUCTS .. COMP/OP ACG $ 4, C100.,.q.Qq r� .. . .:. % ;. , :. OTHER:. ; . ..... ,, . , . ,. .,. . . -. . I. .. : . " Pn{icy:A�gregafi�. Limifi. � U , OOO., q00 : . A L. ;: . .: . :,'. . . AUTcfIMOELLE LIABILITY : _. uA 7o s 962 04/01/2025 04/0+;/2026 . COMBINED SINGLO LIMIT . . . . . . ... ... . .. Ea accident ' . . . . .. ..' . ' .. . .. .. :. ANYAUTO ; . . .... . . X. . . . . . .. .. . . _ ... , ; . . . . . ..� 11 .. . . DILY INJ,U 1.RY (Per person). - . . . . (JWNED SCHEDULED . 1. ' B(�DII.�Y {NJURY{Per accident) . . . AUTOS ONLY HIIEp AUTC3S. - AUTS NO -OWNED : N . .. . .. . ., .... ' .. . ,. .:. 1. pR ,AC . �de��AM M .. - ... _ONLY '' .1. , A T. ONLY ` ` . U QS Q . .. . . I'�r��� . . ;�:.' 111 . . . .L1 I .. .. D. . X UMBRELLA LIAE : . X OCC i0�.8 X359 04/01/2Q25.Q4 01/2026 2 OOQ OQO EACH OCCIJRR NCE 5 , 00+0. ' .. I. . : .. , .' E�CCESa LIAS .: I CLAMS BARE .. . . . . . . AOGREOATE $25:, Q00.r 000,11 .. . ... ... QEq..:. X RETEN`I°ION $1,0 , 0.00 . . . . . : B. :. . .. WOR'KERS. COMP NSATION AND E . . . , . . . WCi'03. 25.7 % ... 4 2 �? Q1 a25PI~R .04/0-1/202,6 STATUTE ,OTH .. . . . . . C .. EM PLOYERS':.LIASILITY ., .. ... : . Y / N ANYPROPRIETOR,/P TN EXECUTI E ARR / V N .. N/ A _ . .. A4S�: e cep + CA WC73292615 . .: 44/iJ1/2425 ,:X ..- .. . . . . 04�f1/202+5L.1. 1.ER E L, EACW ACCII'NT . .. $l, .qq0, dQ.1 . . I R Lu QFF GER/MEMBE EXC . DED .' (Mandatory m. NHj . ' .. . . _ A ' .MA OR -InI1 _ 9 7 . _ . . . E.L; DISEASE�EA EMPt,( YES $1,,:004.. 00 1. - I . e ,,desonlae under, yy DESCRf 'TIgN .QF QWERATIO S bcalo N VAI " . . . E.L, DISE, PO,L�C.Y LIMIT aQo ,,goo 9 Y,.,.W ., ., . G . o be r L`1 abi 1 �I t .y y . . PL241„51::39 I. 02 t 1 202 ..� / a2 Q1' 2027 / / '+ ber E&o A re ate. . 0 000 000 y / / g . .. . . : . ; .. _ . . ' ..� Y '- . 1 a� ms made . . . . " .,. . . . : STS a,pp7 i es pe Po: J ey ; r condi �i cans . , . _1. ... , .. I. D CRIP I N .. F PER TIONS / LO I S1. V ICL S C 1 r � Ie t c ar ES .. L1 A 0AT QN / EH E �A. ORD U1, Addittanal.Rema ke S hedu may be a to hed if m e apace is required) . . ..... . .. . .. ,: . .: ..'N. '' Y.'.. .. + _. N.. .. Y. .. r. '�N Y' Y Y: «•.' R Y' :r' - Y 1. Ce rti �i c ,te. HQ 1 de r 7 7 n 1 .ed: as n ad a i on 1�� s e r 1 i b,i1 i n L 71 �I . `c V r d 1~ n u red a„ a y o e .�e 7 f regI�I rod :b a c. a y a f Auomo11 �I ab . Y , Y N calrac bl and w�Ih res ecoq acts V� es or obl i a i ons e rfarm+d under cant tact and onloIe :1 m7s re u red b 1.y I p y y ,. : 44 Y .. Y9..: ._ . .. the contract 0.r the terms. .nd .Lond. i ins �f the:. of i ci es , . ... : . •: . . .. '-., . ... ' . ': - - . .. .p , . ..:.. . . . . .. ... . . -. .. . . , . I. . . , .. . .. . . f: �j L - ,. . . : • , . . . . . . L I . .. . x . . . CERTIFICATE HC LI EI C, NCELL,ATION . .1 . .. ,. . SHOULD ANY .OF THE ABOVIE DESCRIBED POLICIESI. BE `CANCE:LLED I3E,FORE THE' , EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED : IN ACCORDANCE Wr.ITH THE , .. 1.. . . PO,41CY PRr. . 18:ya�_'* 4 _0 �� �'" . City of Los. -Al tos . H"t 1 '1 s' IrOVISIONS. AUTHORIZED' REPRESENTATIVE , �,« 20379 Fremont Rd. . . . LOS A COs Hili r.S. CA '.94022 USA . .. :.. -. :.. . +r Mot I R44 �-fxAww, 1. � . .e ��_ . . ... . I I .. ,' . . (0195 2015 AC i►RD CORPORATION. N. All rights reserved, .. ,. . " ACORD 25 (20N16/03) The ACORD name and logo are regist�ered mar' %S of ACORD AGENCY CtJS7OMER IQ: 570004098648 DITMC�NAL REMARK$ �CD�,Egage AGENCY.. ' • 6 n' . sly ; z r� u r .n .. SO* w n .. � p i A, N�.. E NSURE ^� ryry n' .}. ww �.y ��`^ g�ayy }�.+r1�y� yy yt `j' �y �*+ 1'''1 IY 1. rl 11,1"' 11..x. n»�:1 r.' .1,.ilAv w 'L Y� , WER ee ... 'o r. . I,V Ia�e , w .5 01 79.' ..951. ' CARR !t ! :4.. lw 1.' 1'ff t.' 1V�<J 1 .w J.I. 0'.I'a/:.l.um' NAIC ODE, he��(77RC.id NC1. (f X1"4 1'4 at�red mark$f:%�1GiRI AGENCYGUSTOMER IA: 570000098648 .LOC #: ADDITIONAL AEMARKSSCHEDULE' Page _ of .� AGENCY Apn i k. Insur anc Serval ees west y Inc. NAMI INStJRp Fi del i ty. Nati oval �nfc�r�ma�7 on Sery M z�c. POLICY NUMBER See- certificate Number: 570117922951 CARRIER See Certi fl at' a Number. 57011792295-1 NAIL CODE EFPECTIVE DATE; ADDITIONAL REMARKS. The ACORD nerve and logo are regWered marks of .AC014D Certificate No: 570117922951 City of Los Altos Hills 26379 Fremont Rd. Los Altos Hills CA 94022 USA Wednesday, February 4, 2026 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570117922951) for future renewals:M - Visit aon.com/e-cert; or - Utilize the QR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. Aon Risk Services 5801 Postal Road PO Box 818037 Cleveland, Ohio 44181-9600 rM.