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HomeMy WebLinkAboutJoe A. Gonsalves and Sons Inc. 05.18.20265/18/2026 4:12:39 PM PST (GMT -8) FROM: fax -TO: 16509413160 Page: 2 of 3 ACC>R" 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 5/18/2026 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 McGee & Thielen Insurance Brokers, Inc. 3840 Rosin Court, Suite 245 CONTACT NAME: McGee & Thielen COI Service Center PHONE FAX A/c No Ext): 916-646-1919 Arc No): 916-646-0995 ADDRIESS: Sacramento, CA 95834 INSURER(S) AFFORDING COVERAGE NAIC # 6/17/2026 www.mcgeethielen.com 0633187 INSURERA : Travelers Indemnity Company of CT 25682 INSURED Joe A Gonsalves and Sons Inc. 1201 K Street INSURE RB : Hartford Accident and Indemnity Company 22357 INSURERC : Travelers Casualty and Surety Co of Amer 31194 INSURERD : Suite 1850 Sacramento CA 95814 e INSURER : INSURE R F : MED EXP (Any one person) s5,000 COVERAGES CERTIFICATE NUMBER: 90597290 REVISION NUMBER: 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 SUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY ✓ 16609794P909 -TCT -26 6/17/2026 6/17/2027 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE Fv OCCUR UAMAG O PREMISES Ea occurrence $100,000 MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $ Excluded GENERAL AGGREGATE $4,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO- JECT LOC PRODUCTS -COMP/OPAGG $4,0001000 $ OTHER: A AUTOMOBILE LIABILITY 16609794P909 -TCT -26 6/17/2026 6/17/2027 EO aBINE tSINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE rDED I I RETENTION $ $ IV B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? DY N / A 57WECZ.15671 4/11/2026 4/1 /2027�/ SPER TATUTE IEROH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1_,000,000 C Professional Liability 108464824 3/25/2026 3/25/2027 Limit $1,000,000 Per Claim Aggregate $1,0001000 Deductible $10,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Town of Los Altos Hills is named as addtional insured with respects to general liability per the attached endorsement form CG D1 05. CERTIFICATE HOLDER CANCELLATION Town of Los Altos Hills 26379 Fremont Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Los Altos Hills CA 94022 AUTHORIZED REPRESENTATIVE Charlotte Brown ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 90597290 1 w2026/27Master GL/AL/WC I Charlotte Brown 1 5/18/2026 9:08:55 AM (PDT) I Page 1 of 2 5/18/2026 4:1���PST (GMT -8) FROM: fax-TO*1650941o160 Page- 3 of COMMERCIAL GENERAL LIABILITY THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED w-�OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the : COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS,. - 1. WHO IS AN INSURED (SECTION U)|eamended in e written contract for this insurance to toinclude aoaninsured any person oro'ganizo- apply nnaprimary o,contributory basis' tion /c�|kad hereafter insured") �hom ` ' 3. This insurance does not apply: you have agreed in owMtten contract, executed prior to loss, to name eaedd}Uona| insured, but �' on any basis to any person o� organization only with m� to liability arising out of"your for whom you have purchased �n Owners work" or you ongoing operations for that addi- dd|- and Contractors Protective policy, tional Uona|inaumdperformedbyyouorforyou b. to "bodily injury," "property damage," "per- pe� 2. 2' With respect to the insurance afforded to Addi- aona| injury," or "advertising injury" nMa|ng Uona||nmumdothe following conditions apply, out ofthe rendering oforthe failure torender any professional services by or for you, in - Limits of Insurance — The following limits of dud|ng� liability Uati|hvapp|y: ' 1' The limits which you agreed to provide' 1. The propahnA, approving or failing to or approve maps, drawings, or prepare opinions, n*podo` aumeya, change or - 2. The limits shown onthe declarations, dens'designs orspecifications; and whichever ialess. 2. Supervisory, inspection or eng|neohng b' This insurance is excess over any valid and services collectible insurance unless you have agreed CG D1 050494 Copyright, The Travelers Indemnity Company, 1984' Includes Copyrighted Material from Insurance Services Office, Inc. 90597290 1 w2026/27M=zeroL/^oWC / charlotte Brown 1 5/18/202e e.ua.ss ^m (PDT) / Page 2 of 2 Page 1of1 5/18/2026 4:12:39 PM PST (GMT -8) FROM: fax -TO: 16509413160 :From: McGee & Thielen Insurance Brokers, Inc. 3840 Rosin Court, Suite 245 Sacramento, CA 95834 916-646-1919 0633187 www.mcgeethielen.com Page: 1 of 3 U AV FAX DOCUMENT Certificate of Insurance Delivery by ecertsonline TM From: Charlotte Brown To: �......,................:..........,.......................................,.,......................,...... Subject: No. of Pages: Cert No. 90597290 - Certificate of Liability Insurance: Joe A Gonsalves and Sons Inc. - 5/18/2026 FAX 16509413160 3 Ti nn oirnnonr in IhITroinrn rnn Ti it i inr nr Ti it ihinii nni ioi nn FhrrIT1(Tn ioa nni i IT in onnnrnnrn Rhin oloor nnhIT111H ihirnnhioTinhITi IAT in nnn of rnrn, nnhirinroiTloi Rhin FvroonT rnnol ninrn nni inr i ininrn onni Ino ni r LAW. IF THE READER OF THE MESSAGE IS NOT THE INTENDED RECIPIENT, OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DEL KERING THE MESSAGE TO THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE RECENED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US IMEDIATELY BYTELEPHONE, AND RETURN THE ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA REGULAR POSTAL SERVICE. Certificate of Insurance Delivered by ecelrtsonlineTM Insurance Visions, Inc. All rights reserved.