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Home My WebLink AboutJames Caccia Plumbing, Inc. 07.22.2024� '. DATE -M DD/YYYY) -f CERTIF, LATE CSF LIABILITY INSURANCE 0722/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OINFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY MEND, -EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CON RACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the truts and conditions of the policy, certain policies may require an endorsement. A statement an this certificate does not confer rights to the certific to holder -in lieu of such endorsement(s).. PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 NAME CT CLI ENT CONTACT CENTER PHONE C, No, No, 888-333-4949 FAX c, No): 507-446-4664 E-MAIL CLI ENTCONTACTCENTER FEDI N S.COM OWATON NA, MN 55060 INSURERS AFFORDING COVERAGE NAIL # INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE $1,000,000 { INSURED i 314-482-1 INSURER B: JAMES CACCIA PLUMBING, INC, i( 917 N AMPHLETT BLVD INSURER C: INSURER D: SAN MATEO, CA 94401-1105 INSURER E: DAMAGE TO RENTED PREMISES $100,000 IlEa occurrence) INSURER F: COVERAGES CERTIFICATE NUMBER: 56 REVISION NUMBER: 1 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 O. CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFODED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH P0LiiiE3. L.II0 TS SH0AXN MAY HAVE BEEN rZtcDUCED l3Y PAID CLAitviS. INSR TYPE OF INSURANCE ADDJNSRL UBRWVO POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE�X OCCUR DAMAGE TO RENTED PREMISES $100,000 IlEa occurrence) MED EXP (Any one person) EXCLUDED A Y N 1899899 07/01/2024 07/01/2025 PERSONAL &.ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY DFR LOC GENERAL AGGREGATE $2,000,000 PRODUCTS & COMPIOP AGC $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 Ea accident)> > BODILY INJURY (Per Person) X ANYAUTO IN BODILY INJURY (Per Accident) A OWNED AUTOS ONLY SCHEDULED —AUTOHIRED N 1899899 07/01/2024 07/01/2025 PROPERTY DAMAGE (Per Accident) AUTOS ONLY NON -OWNED AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 A EXCESS LIAR CLAIMS -MADE N N 1899902 07/01/2024 07/01/2025 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER STATUTE THER E.L EACH ACCIDENT ANY PROPRIETORIPARTNERI EXECUTIVE OFFICERIMEMBER EXCLUDED? L (Mandatory in NH)E.L N1A DISEASE EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACOR!,� 101, Additional Remarks Schedule, may be attached if more space is required) THE CERTIFICATE HOLDER IS AN ADDITION#L INSURED- SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN R QUIREO IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. CERTIFICATE HOLDERCtI►NCF1 1 ATION 314-482-1 1 561 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED TOWN OF LOS ALTOS HILLS 26379, W FREMONT RD BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN LOS ALTOS HILLS, CA 94022-2624 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .z 4 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) ThwhCORD name and logo are registered marks of ACORD } } COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. N�~ INSURED ~ U�n�0�LESSEESOR��mou�u� ��x��u�, CONTRACTORS =AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 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 o contract oragreement that such person ororganization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury". "property damage" or "personal and advertising injury" caused, in whole or in port. by: 1' Your acts oromissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. BL With respect to the insurance afforded to those additional insmredo, the following additional exclusions apply: This insurance does not apply to: 1- "Bodily injury" "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional orohiteotura|, engineering or surveying services, including: m' The prepahng, approving, or failing to ' prepare orapprove, maps, shop drawings, mpinionu, neporto7 aurveya, field ordera, change orders or drawings and specifications; or b' Supemiaory, inspection, architectural or engineering activities. However,' the insurance afforded to such This exclusion applies even if the claims additional insured: ' ogoinetany insured allege negligence orother U. Only applies to the extent permitted by law; wrongdoing in the supenviaion, hiring, and arnp|oynment, training or monitoring of others 2. Will not be broader than that which you are. by that ineunad, if the "occurrence" which required by the contract or agreement to caused the "bodily injury" or "propertypnom|dehzravohadditipnal'insured. darnage". or. the nffonmo which caused the "personal and advertising injury" involved the A person's or organ izedion's mtcduo as an ' rendering of or the failure to render any additional insured under this endorsement ends professional architectural,engineering or when your operations for that additional insured surveying services. are !completed. Q Insurance Services Office, Inc., 2018 Page 1 of 2 CG 20 33 12 19 Policy Number: 1899899 Transaction Effective Date: 07/01/2024 2. "Bodily injury" or "property damage" occurring after: a. All work, including rnetehe|a, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed bymron behalf ofthe additional insured(s) at the location of the covered operations has been completed; or b- That portion of "your work" out of which the injury ordamage orioaa has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for oprincipal aaapart ofthe same project. Page 2 of 2 CG 20 33 12 19 C. With respect to the insurance afforded to these additional inaureda, the following is added to Section III - Limits 0f Insurance: The most we will pay on behalf ofthe additional insured iathe amount ofinsurance: 1- Required by the contract or ognoarnent you have entered into with the additional insured; or 2. Available under the applicable limits of inoUnenoo' . whichever isless. This endorsement shall not increase the applicable limits of insurance. @ Insurance Services Office, Inc., 2018 Policy Number: 1899899 Transaction Effective Date: 07/01/2024