HomeMy WebLinkAboutLoza & Sons, Inc. 04.28.2026CERTIFICATE OF LIABILITY INSURANCE DATE tnMDDIYYYY
04128/2026
THIS CERTIFICATE IS ISSUED AS A MATTER C F .. INFORMATION ONEY AND CONFERIS NO. RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES, NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE 0 PRODUCER, AND THE CERTIFICATE HOLDER:
IMPORTANT:. If the certificate holder is an ADDITIONAL INSURED, the p6licAies) must have ADDITIONAL .INSURED previsions or be endorsed,
If $ UBROGATION IS WAIVED, Subject. to. the terms and conditions. of theclic, certain policies may requirean. endorsement. A. statement pan
p Y� P l� re q
this certificate does not confer rights to the certificate holder in lieu of dorsement(s).
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PRODUCER C
GEICO NAME: O!
GEIC
PHONE__J FAX
One GEICO Blvd. AIC No Ext : 1-886-509.9444 AIC Na
E-MAIL.
Fredericksburg; VA 22412 ADDRESS: RICOMMEND GEICO,COM
INSURER(SI AFFORDING COVERAGE NAIL #
INSURER A: GEICO General Insurance Company 35882
INSURE
INSURER B
LAZA & SONS INC
1779140TH AVE INSURER C
SAN LEANDRO, CA 94678
INSURER D
INSURER E
INSURER F
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE: FORTHE POLICY PERIOD
INDICATED, N07WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT U11iTH RESPECT TOWHICH THIS
CERTIFICATE .MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED zY THE POLICIES DESCRIBED HEREIN IS SUBJECT'.TCS ALL THE'TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR
LTR
TYPE OF INSURANCE
ADI .L.
INSD .
SUBR
UtIVCt
POLICY NUMBER.
POLICY EFF
MMIDIJIYYYY
POLICY. EXP
MMIDDIYYYY
LIMITS
AUTHORIZED REPRESENTATIVE ;
COMMERCIAL GENERAL LIABILITY
CLAII s-mADE OCCUR
I
EACH OCCURRENCE
PREM SES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & APV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY LOCPRO
ECT
� JECT �
J
GENERAL AGGREGATE
UCTS - COMP/OP AGG
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident $ 1,000;000
ANY AUTO
BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS
9300222155-01
04/09/2026
10/09/2026
BODILY INJURY (Per accident)
HIRED NON -OWNED
X AUTOS ONLY � AUTOS ONLY$
PRtiPERTY DAMAGE
Per accident
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
DED RETENTION $
$
WQRI ERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOP/PARRTNER/EXECUTIVE
OFFICER/MEMBER, EXCLUDED?
(Mandatory in INH)
If yes, describe under
N / A
PER QT -
STATUTE ER
E.L: EACH ACCIDENT $
E.L. DISEASE. EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
See Additional Remarks Schedule (ACCRD1 U1 )
CERTIFICATF I•InLnF-R PtarkIr"_1+1 I &` lnt%l
The Town of Los Altos Hills
26379 W Fremont Rd
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
THE EXPIRATION DATE THEREOF, NOTICE WILL
CANCELLED BEFORE
BE DELIVERED IN
Los Altos Hills, CA 94022
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE ;
I
V 1:Vt$0-LU7;1 AIUVIKI UUKIJUKA 11UN. Ali rignts reservea. .
ACORD 26 (2-01116/03)The ACORD name and logo are registered marks of ACORD