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HomeMy WebLinkAboutCOI - C and B Landscape Inc. - Expires 2024-12-15CERTIFICATE OF LIABILITY INSURANCE DAT10/24/2023YY) 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 CONTACT NAME: CLIENT CONTACT CENTER PHONE No, EMI: 888-333-4949 FAX No): 507-446-4664 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 4 INSURER AFEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 395-180-3 C AND B LANDSCAPE INC, CALIFORNIA LANDSCAPE PO BOX 2683 GILROY, CA 95021-2683 INSURER B; INSURER C: INSURER D: INSURER E: INSURER F: CERTIFICATE NUMBER: 43 REVISION NUMBER: 0 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 TYPE OF INSURANCE ADDL INER SUER WVD POLICY NUMBER POLICYy EFpp (MMIDDIYYYY) POLICY E P IMMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY N N 9161831 12/15/2023 12/15/2024 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR pAMAGE TO ENTED PREMISES IEa occurrence $100,000 MED EXP (Any one person) EXCLUDED PERSONAL & ADV INJURY $1,000 000 GEN'L X AGGREGATE—LIMITI�,APPLIES PER: f POLICY Fin,: 1 I LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS & COMP/OP AGO $2,000,000 A AUTOMOBILE X _ LIABILITY ANY AUTO OWNED AUTOS ONLY _ _ SCHEDULED NON-OWNEDPROPERTY AUTOS ONLY N N 9161831 12/15/2023 12/15/2024 COMBINED SINGLE LIMIT 1Ea accident) $1,000,000 BODILY INJURY (Per Person) BODILY INJURY (Per Accident) DAMAGE Per AccidenQ A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE N N 9161832 12/15/2023 12/15/2024 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/ EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N N/A PER STATUTE OTHER E.L EACH ACCIDENT E.L DISEASE -EA EMPLOYEE E.L DISEASE • POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) JOB NAME: ROGER'S RESIDENCE AT 7690 SANTA THERESA DR. GILROY CALIFORNIA 95020 CERTIFICATE HOLDER CANCELLATION 395-180-3 CITY OF GILROY 7351 ROSANNA ST G I LROY, CA 95020-6141 43 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A),„a e © 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2018/03) The ACORD name and logo are registered marks of ACORD