HomeMy WebLinkAboutLewis and Tibbits, Inc. 12.24.2025AC4ORt) EVIDENCE OF PROPERTY INSURANCE
DATE (MM/DD/YYYY)�
12/24/201'e
UPON THE
R ALTER THE
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS
ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND O
COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THI
ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
AGENCY PHONE
A/C No Ext): 415-391-2141
COMPANY
Town of Los Altos Hills
Travelers Property Casualty Insurance Company
Woodruff -Sawyer & Co.
P. O. BOX 98932
50 California Street, Floor 12
Chicago, IL 60693-8932
San Francisco, CA 94111
FAC No : 415-989-9923 ADDRIESS: ramoroso woodruffsaw er.com
CODE: SUB CODE:
AGENCY
CUSTOMER ID #:
INSURED
LOAN NUMBER
POLICY NUMBER
Lewis and Tibbitts, Inc.
QT630A6407642TIL25
1470 Industrial Avenue
EFFECTIVE DATE
EXPIRATION DATE
San Jose CA 95112
CONTINUED UNTIL
1/1/2025
1/1/2026
TERMINATED IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCATION/DESCRIPTION
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
EVIDENCE OF PROPERTY INSURANCE 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.
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COVERAGE/PERILS/FORMS
AMOUNT OF INSURANCE
DEDUCTIBLE
Installation Floater
$3,000,000
$2,500
REMARKS(including Special Conditions
All California Operations performed by the Named Insured for the certificate holder
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ADDITIONAL INTEREST
NAME AND ADDRESS
ADDITIONAL INSURED
MORTGAGEE
LENDER'S LOSS PAYABLE LOSS PAYEE
LOAN #
Town of Los Altos Hills
26379 Fremont Rd
AUTHORIZED REPRESENTATIVE
Los Altos Hills, CA 94022
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