HomeMy WebLinkAboutLerch Construction Company 10.03.2024ACC)RL> CERTIFICATE CSF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
10/3/2024
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 I BY THE. POLICIES
BELOW,. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING. INSURER(S), AUTHOR.IZ.E,D
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT If the certificate ho I I , d I er is I an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions, or be endorsed.
IUSUBROGATION IS, WAIVED, subject to the terms and conditions of the policy, certain policies may require' -an endbir'se --- ffi-e,61 A' statement on
this certificate does not,'co,nfpr, rights to the certificate holder in lieu of such endorsement(s).
PRODUCER...
Acrisure Partners West Coast Insurance Services,
3165 Olsen Dr, 4th Floor'
San Jose CA 95117.
CONTACT
NAME:
PHONE FAX. -6
(A/C. No, Ext):916-676-0844 (A/C, No 91 -676-0860
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
4/21/2024
INSURER A: Everest Premier Insurance Company 16045
License#: 6009644
INSURED LERCCON-04
Lerch Construction Company
923 Industrial Ave.
INSURER B: James River Insurance- Company 12203
INSURER C:
INSURER 0:
Palo Alto CA 94303
INSURER E:
PRODUCTS - COMP/ORAGG $ 2-1000,000
INSURER F:
-1
.COVERAGES CERTIFICATE NUMBER: 354079702 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
ADDLSUBR
INSD
WVD
POLICY NUMBERLIMITS
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
26379 Fremont Road
B
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
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00076936-7
4/21/2024
4/21/2025
EACH OCCURRENCE $1,000,000
DAMAGE TO RENTEDPREMISES (Ea occurrence) $50,000
MED EXP -(Any one person) _$ 1;.000
--PERSONAL-& ADV -INJURY $ 1,000;000'
GEN'L AGGREGATE LIMIT APPLIES PER:
LIC :X� PE LOC
POLICY PRO- LOC
OTHER:
GENERAL AGGREGATE' $ 2,000,000
PRODUCTS - COMP/ORAGG $ 2-1000,000
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT $
(E8 accident
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Per accident)
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE $
AGGREGATE $
DIED RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.EACH
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
7600003850241
10/8/2024
10/8/2025
X PER OTH-
ISTATUTE ER
ACCIDENT $1,000,000
E.L. DISEASE -:EA-EMPLOYEE $-1,000,0 00
E.L. DISEASE - POLICY LIMIT $1,0001000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Evidence of Insurance.
CERTIFICATE HOLDER CANCELLATION
@ 1988-20.15 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 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Los Altos Hills
26379 Fremont Road
AUTHORIZED REPRESENTATIVE
Los Altos Hills CA 94022
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@ 1988-20.15 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD