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Home My WebLink AboutJ. Johnson & Company, Inc. 08.04.2024InHhlr.r)l . op in-- NAT 'C''�� C CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08107/2024 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(es) must have ADDITIONAL INSURED provis16 ns or be endorsed. IfSUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain, policies may reoUire.an endOrs6meht._`* k8tatem6btAn-. thiscertificatedoes not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER. - 475-4314. UVIS Donald R Hardy Agency R:O. Box 308 C CapitoI6, A 950 0, ONTACT Charmahe Phillips,,CSR ME: n PHONE 831-475-4314 FAX 831---.4-75-9-524..,.. (A/C, No, Ext): FAX No): E-MAIL charm a nep@c hard yl ns. com,. ADDRESS. David J. Martini, AAI INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Gemini Insurance Company 10833 EACH OCCURRENCE $ 11000,000 INSURED J. Johnson & Company, Inc. 600 Calabasas Road INSURER B :Ohio Security Insurance Co. 24082 INSURER C: State Compensation Ins Fund 35076 INSURER D :Ohio Casualty Ins Co 24074 Watsonville, CA 95076 INSURER E: -GENERAL PRODUCTS - COMP/OP AGG $ .21000NO INSURER .F: B r.FPT11=1r.ATF K11 IMRI=P- RFVISIC)N NLIM13ER-. -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. IN,SRTYPE'OF -LT2-- INSURANCE ADDLSUBR IN5.p WVD POLICY NUMBER POLICY EFF JMMIDD/YXYY) POLICY EXP (MM/DD/YYYY), LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX] OCCUR X Los Altos Hills, CA 94002 VIGPO26018 02/05/2024 02105/2025 EACH OCCURRENCE $ 11000,000 DAMAGE TO RoccurND 1005000 EREMISES (Eance) $ MED EXP An one person) $ 5,000 PERSONAL & ADV INJURY $ 1500010.00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY Ox imo;f 1-1 LOC OTHER: AGGREGATE $ 21000,000 -GENERAL PRODUCTS - COMP/OP AGG $ .21000NO $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED, AUTOS ONLY AUTOS HIRED NON -OWNED. AUTOS ONLY AUTOS ONLY X, BA056694868 09102/2023 0910212024 COMBINED SINGLE LIMIT $ 11000,500.0 (Ea accident) BODILY INJURY Per person) $ BODILY INJURY Per accident) $ PROPERTY DAMAGE Per accident) $ $ A s. UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE VIFX002661 02105/2024 02/05/2025 EACH OCCURRENCE $ 29000,000 X AGGREGATE $ 2'000'0®® DFD RETENTION $ $ C WORKERS COMPENSATION EMPLOYERS' LIABILITYY/NPSIC0701456101 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 08/0912024 08/09/2025 PSTAUTE X ER �RHAND E1, EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1 1000�000 1-000000 E.L. DISEASE -POLICY LIMIT 5 7 D Equipment Floater BM056694868 09128/2023 09/2812024 DIVE'SCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) To.wn of Los Altos Hills is named as Additional Insured per attached CG20100704 and CG20370704 as regard General Liab ty and per attached AC85430821 as regards Commercial Auto. r_1=PTIPlr.,&TP Hr)i nF:p r.ANr.F=l I AT110KII TOWNLG2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94002 AUTHORIZED REPRESENTATIVE David J. Martini, AAI P'CORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD