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`" 'CERTIFICATE. OF LIABILITY INSURANCE
:DATE (MM/DDNYYY).
02/25/2025
THIS CERTIFICATE IS ISSUED. ASA MATTER OF INFORMATION ONLY. AND CONFERS NO RIGHTS. U PON 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' 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 terms and conditions of thepolicy,: certain policies may require an endorsement. A - statement on this
certificate: does not confer rights to. the certificate holder, in lieu of such endorsement(s).
PRODUCERNAME
FEDERATED MUTUAL INSURANCE CQMPANYPHONE
HOME OFFICE: P.O. BOX 328
OWATON NA, MN 55060
CONTACT
.•-. 'CLIENT CONTACT CENTER
FAx
'(AIC, No; Extj: 888-333-4949 IAtc; No): 507-446-466
E-MAILn. Ss: CLI ENTCONTACTCENTERQFED_I NS.COM
INSURERS AFFORDING COVERAGE NAIC #
INSURE=R A:FEDERATED MUTUAL INSURANCE COMPANY . 13935.
INSURED _ -
JAMES CACCIA PLUMBING. INC.
917 N AM PH LETT BLVD .
SAN MATEO, CA 94401-1105
a.
INSURER -B:
INSURER_C:
INSURER. D:
INSURER E.
INSURER F:
..
. -
:
COVERAGES CERTIFICATE
NUMBER:*66
-. 'REVISION • NUMBER: 3
..
THIS IS• TO CERTIFY THAT THE POLICIES OF
NOTWITHSTANDING ANY REQUIREMENT, TERM
ISSUED OR MAY PERTAIN., THE INSURANCE-
SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN
INSURANCE
,OR
AFFORDED
LISTED BELOW HAVE BEEN ISSUED. TO -THE
-:-CONDITION OF ANY.CONTRACT OR. OTHE=R DOCUMENT
BY THE POLICIES DESCRIBED-. HEREIN IS SUBJECT
REDUCED 'BY -.PAID CLAIMS.
INS URED. NAMED -ABOVE FOR THE POLICY.PERIOD I.NDI-CATED;
WITH RESPECT �TO WHICH THIS CERT1FfCA . MAY BE :
TO ALLTHE E=XCLUSIONS AND. CONDITIONS OF..
INSR
LTI?
TYPE OF INSURANCE
ADDL
INSR
SUER
WVD
POLICY
POLICY EFF
MMIDDIYYYY ..
POLICY EXP
(MMIDDIYYYY)LIMITS
.
A.
x COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
GEN'L ,4GGREGATE LIMIT APPLIES PER:
PRO -LOC
❑JECT .
OTHER:.
Y-
N:
. 1899899
07/01/2024-
-
-
07/01/2025
EACH OCCURRENCE $.11000,000
DAMAGE TO �RENTED:PREMISES' -
(Ea. occurrence). -$1.00,000
MED• -EXP (Any one person)-.. :- � EXCLUDED:
PERSONAL & ADV INJURY :: $1,000,000
AGGREGA $2,000 .000
PRODUCTS &COMP OP.ACC :_' $2000,OCI0
..X
A.SCHEDULED
ANYAUT.O
OWNED AUTOS ONLY AUTOS
HIRED AUTOS ONLY ... NON -OWNED
AUTOS ONLY.
N :, .
N:
_
- 1899I399 : -
07/0112024
p7/D1 /2025
COMBINED S LN._G
LELIMIT(0AUTOMOBILELIABILITY 1,.]OD,00(Ea. ient)
BODIL-Y.INJUR.Y'(Per Person)
BODILY" IN.IURY- (Per, Accident) .: _
(P PROPERTY AGE . -
..
A
)C UMBRELLA LIAR X
EXCESS LIA6.
OCCUR .
CLAIMS -MADE
N
N
_
1899902
07/01%2024
07101%2025.
EACH OCCURRENCE $5,000;000
`AGGREGATE: $5,000,000
DED �]�RRETENTION
:
" .
WORKERS COMPENSATION
AND EMPLOYERS` LIABILITY YIN
ANY PROPRIETOR/PARTNERI EXECUTIVE
OFFICERIMEMBER EXCLUDED?
(.Mandatory in NH.)
If yes, describe'under
DESCRIPTION OF OPERATIONS belowE.L
NIA.
_
PER STATUTE . THER.
E'.L EAC !ACCIDENT
E:L DISEASE- EA EMPLOYEE. .
DISEASE. POLICY. LIMIT'
DESCRIPTION'OF OPERATIONS f LOCATIONS1 VEHICLES
THE CERTIFICATE..HDLDER.IS. AN ADDITIONAL'
CONTRACTORS = AUTOMATIC.STATUS.WHEN
(ACORD
REQU.IRED�IN
101, Addilional.Rel'narks _Schedule, may be attached If more
INSURED' SUBJECT- To. THE'CONDITIONS
CONSTRUCT:ION.AGR.EEMENT-WITH
space. Is. required)
OF THE ADDITIONAL INSURED -'.OWNERS, LESSEES .OR
YOU ENDORSEMENT-FOff GENERAL LIABILITY:
CERTIFICATE' HOLDER ' ._
CANCELLATION
COMMERCIAL GENERAL LIABILITY
CG 20.33 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -OWNERS
LESSEESDR
CONTRACTORS- `AUTO
MATIC: STATUS WHEN
REQUIRED IN' A WRITTEN CONSTRUCTION
..
A GREEMENT .WITH- YOU.-
Thisendorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
-
A. Section II Who Is An Insured is amended t4
B. With respect to the*insurance afforded to these
include as an additional insured any person or
additional insureds, the following .additional
organization for whom you are performing
exclusions apply:
`.operations. when you and such. person' or
This insurance does not apply fo:
organization have agreed in writing in a contract
1. "Bodily. injury", "property damage" or
or agreement that such.personor organization be
.
%personal and advertising injury" arising out of
added as an additional: insured on your policy.
the:rendering of, or the failure to render, any
Such person or organization is an additional
"bodily
professional architectural, engineering or -
insured only with .respect- to .liability for
"property "personal
surveying: services, including:
injury", damage" or and
,
advertising injury" caused, in whole or in part,'.` --by..
A. The .preparing, approving, or wiling to
1. Your acts or omissions; or
prepare or approve, maps; shop drawings,
.
opinions, reports,. surveys, field orders,
2. The acts or omissions of those acting on your
change orders or _ drawings and
behalf,.
specifications; or
In'. the performance of your ongoing operations for
b. Supervisory, inspection, "architectural. or
the additional insured.
engineering activities.-..
However, the insurance afforded to ,such
This exclusion applies even. if the claims
additional insured;
against any insured allege negligence or other
1. Only applies to the. extent permitted by law;
wrongdoing in the supervision, hiring;
and
employment, training or monitoring of others
2. Will nod be broader than that whl�h you ars
by' that insured; if the: "occurrence'' which
required by the contract or agreement to .
caused ..the "bodily _injury" or "property
provide for such additional insured'.
dam age'°; or the offense which caused the....
-the
personaf and advertising injury", involved
A p��`�on's or �rganza4ion's status 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.
O Insurance Services Office, Inc., 2018 Page 1 of 2"
CG 20 33;12 19 Policy Number:.1899899
Transaction Effective Date: 07/0112024
2. "Bodily injury" or damage"
occurring after:
m' All work, including nmatoha|o, parts or
equipment furnished in connection with
such work, on the project (other than
aanioe` maintenance or repairs) to be
performed -by oronbehalf cfthe additional
insured(o) at the location of the covered
operations has been completed; or
b' That portion of "your work" out of which
the injury or damage arises has been put
to its intended use by any person or
organization other than another contractor
or subcontractor engaged in performing
operations for aprincipal aoapart 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 of the additional
insured iothe amount ofinsurance:
1. Required by the contract or agreement you
have entered into with the additional insured;
or
2. Available under the applicable limits of
maunsnoo'
.
whichever ioless. '
This endorsement ahe|| not increase the
applicable limits of insurance.
@ Insurance Services Office, Inc., 2018
Policy Number: 1899899
Transaction Effective Date: O7/O1/2O24