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HomeMy WebLinkAboutJames Caccia Plumbing, Inc. 06.18.2025CC>Rh"I CERTIFICATE OF LIABILITY INSURANCE DATE (MM/D ) 06/18/025 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 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 the policy, 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). PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 OWATONNA, MN 55060 ACT NAME: CLIENT CONTACT CENTER PHONE FAX (AIC, No, Ext): 888-333-4949 (A/C, No): 507-446-4664 E-MAIL ADDRESS: CLIENTCONTACTCENTERQFEDINS.COM INSURERS AFFORDING COVERAGE NAIC ## INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED JAMES CACCIA PLUMBING, INC. 917 N AM PH LETT BLVD SAN MATEO, CA 94401-1105 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑PR0 ❑ LOC JECT OTHER: Y N 1899899 07/01/2025 07/01/2026 EACH OCCURRENCE $110003000 Ea occurren DENTED PREMISES $100,000 MED EXP (Any one person) EXCLUDED PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS & COMP/OP ACC $210001000 A LIABILITY X ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS NON -OWNED HIRED AUTOS ONLY AUTOS ONLY N N 1899899 07/01/2025 07/01/2026 COMBIAUTOMOBILE (Ea acccidennt)SINGLE LIMIT 130001000 BODILY INJURY (Per Person) BODILY INJURY (Per Accident) PROPERTY- DAMAGE (Per Accident) A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE N N 1899902 07/01/2025 07/01/2026 EACH OCCURRENCE $5,000,000 AGGREGATE $510003000 DEDRETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/ EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatary in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER STATUTE THER E.L EACH ACCIDENT E.L DISEASE -EA EMPLOYEE E.L DISEASE • POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addilional Remarks Schedule, may be attached If more space Is required) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. 0+cn-r1011 ATC Uf%l nC® CANCELLATION TOWN OF LOS ALTOS HILLS 26379 W FREMONT RD LOS ALTOS HILLS, CA 94022-2624 56 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name -and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Y, ADDITIONAL INSURED m OWNERS, LESSEES OR CONTRACTORS =AUTOMATIC- STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH 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 on additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract oragreement that such person or organization be added as on additional insured on your policy. Such person or organization is on additional insured only with respect to liability for "bodily injury". "property damage" or "personal and advertising ipjury"oaumed. in whole orin port. by: 1. Your admoromissions; or 2. The aotoorominsiona ufthose. acting mnyour behalf; inthe performance ofyour ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1' Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the omntnsot or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insumds, the following additional exclusions apply: This insurance does not apply to: 1' "Bodily injury". "property damage" o "poreono|and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare orapprove, maps, shop drawings, opiniona, reports, mun/eya`'field orderm, change h orders or drawings and specifications; or b. 8uporviaory, inopeotion, architectural or engineering activities. This exclusion applies even if the o|airno against any insured allege negligence orother wrongdoing in the suporvimion, hiring, ernp|oynnent, training or monitoring of others by that inaured, if the "occurrence" which caused the "bodily injury" or "property danmago", or the offense which oeuood the "peroona| and advertising injury".involved the rendering of or the failure to render any professional orohitontura|, engineering or surveying services. @ Insurance Services Office, Inc., 2018 CG 20 33 12 19 Policy Number: 1899899 Page 1 of 2 Transaction Effective Dote 07/01/2025 2. "Bodily injury" or "property damage" occurring after: a. All work, including mmatoho|a, parts or equipment furnished in connection with such work, on the project (other than mervioe, maintenance or repairs) to be performed byoronbehalf 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 arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for o principal as a part ofthe same project. CG 20 33 12 19 C. With respect to the insurance afforded to these additional inouredo, the following is added to Section III - Limits OfInsurance: The most we will pay on behalf ofthe 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 insurance; whichever ioless. This endorsement ahe|| not increase the applicable limits ofinsurance. @ Insurance Services Office, Inc., 2018 Policy Number: 1899899 Transaction Effective Date: O7/O1/2O25